| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.72 | $41.72 | $41.72 | |
Aetna
| Professional | $34.81 | $34.81 | $41.72 | |
BCBS
| Professional | $54.68 | $63.99 | $65.09 | |
Cigna
| Professional | $66.75 | $67.42 | $84.77 | |
Medica
| Facility | $34.81 | $48.42 | $270.08 | |
Medica
| Professional | $23.95 | $34.71 | $52.07 | |
United
| Professional | $19.07 | $34.71 | $57.45 |