| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.82 | $35.82 | $35.82 | |
Aetna
| Professional | $35.82 | $42.45 | $49.53 | |
BCBS
| Professional | $45.08 | $54.74 | $64.40 | |
Cigna
| Professional | $38.69 | $38.69 | $38.69 | |
Medica
| Facility | $35.82 | $49.57 | $113.95 | |
Medica
| Professional | $42.59 | $58.52 | $260.01 | |
United
| Professional | $42.59 | $56.10 | $86.06 |