| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.96 | $44.96 | $44.96 | |
Aetna
| Professional | $38.40 | $38.40 | $44.96 | |
BCBS
| Professional | $57.58 | $67.38 | $68.55 | |
Cigna
| Professional | $70.13 | $70.83 | $89.06 | |
Medica
| Facility | $38.40 | $55.46 | $305.83 | |
Medica
| Professional | $26.43 | $43.23 | $61.49 | |
United
| Professional | $20.18 | $35.32 | $61.49 |