| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.47 | $38.47 | $43.77 | |
Aetna
| Professional | $30.10 | $36.96 | $43.77 | |
BCBS
| Professional | $54.50 | $68.28 | $81.42 | |
Cigna
| Professional | $30.75 | $36.36 | $45.00 | |
Medica
| Facility | $33.20 | $43.77 | $65.51 | |
Medica
| Professional | $32.59 | $57.34 | $201.47 | |
United
| Professional | $28.46 | $54.32 | $77.15 |