| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.03 | $42.03 | $42.03 | |
Aetna
| Professional | $34.90 | $34.90 | $42.03 | |
BCBS
| Professional | $55.16 | $64.55 | $65.66 | |
Cigna
| Professional | $67.13 | $67.80 | $85.25 | |
Medica
| Facility | $34.90 | $48.53 | $272.00 | |
Medica
| Professional | $24.02 | $34.90 | $52.36 | |
United
| Professional | $19.21 | $34.90 | $52.36 |