| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.89 | $50.89 | $50.89 | |
Aetna
| Professional | $29.67 | $29.67 | $42.40 | |
BCBS
| Professional | $42.58 | $54.07 | $63.83 | |
Cigna
| Professional | $29.25 | $29.54 | $36.56 | |
Medica
| Facility | $19.79 | $33.64 | $134.28 | |
Medica
| Professional | $12.22 | $33.92 | $48.06 | |
United
| Professional | $11.87 | $33.92 | $43.63 |