| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.32 | $23.32 | $23.32 | |
Aetna
| Professional | $19.37 | $19.37 | $23.32 | |
BCBS
| Professional | $30.83 | $36.08 | $36.70 | |
Cigna
| Professional | $37.50 | $37.88 | $47.63 | |
Medica
| Facility | $19.37 | $26.36 | $151.87 | |
Medica
| Professional | $13.13 | $19.20 | $28.80 | |
United
| Professional | $10.66 | $26.26 | $32.39 |