| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.96 | $35.96 | $123.42 | |
Aetna
| Professional | $35.96 | $35.96 | $35.96 | |
BCBS
| Facility | $62.31 | $96.78 | $152.05 | |
Cigna
| Facility | $37.74 | $37.74 | $37.74 | |
Cigna
| Professional | $37.74 | $37.74 | $42.93 | |
Medica
| Facility | $32.36 | $44.40 | $90.84 | |
Medica
| Professional | $37.00 | $37.00 | $37.00 | |
United
| Professional | $37.00 | $37.00 | $37.00 |