| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.52 | $23.52 | $23.52 | |
Aetna
| Professional | $19.62 | $19.62 | $23.52 | |
BCBS
| Professional | $30.91 | $36.17 | $36.79 | |
Cigna
| Professional | $37.50 | $37.88 | $47.63 | |
Medica
| Facility | $19.62 | $27.07 | $152.57 | |
Medica
| Professional | $13.48 | $19.50 | $29.25 | |
United
| Professional | $10.75 | $26.95 | $32.47 |