| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $25.70 | |
Aetna
| Professional | $18.20 | $22.91 | $30.20 | |
BCBS
| Professional | $50.12 | $58.88 | $75.86 | |
Cigna
| Professional | $33.11 | $38.02 | $44.67 | |
Medica
| Facility | $22.39 | $26.30 | $51.29 | |
Medica
| Professional | $26.92 | $52.48 | $165.96 | |
United
| Professional | $23.99 | $44.67 | $64.57 |