| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $32.36 | $38.02 | $50.12 | |
BCBS
| Professional | $46.77 | $67.61 | $67.61 | |
Cigna
| Professional | $42.66 | $42.66 | $67.61 | |
Medica
| Facility | $35.48 | $41.69 | $56.23 | |
Medica
| Professional | $42.66 | $56.23 | $288.40 | |
United
| Professional | $42.66 | $53.70 | $69.18 |