| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.08 | $49.08 | $49.08 | |
Aetna
| Professional | $40.96 | $40.96 | $49.08 | |
BCBS
| Professional | $61.19 | $71.59 | $72.84 | |
Cigna
| Professional | $74.63 | $75.37 | $94.77 | |
Medica
| Facility | $40.96 | $64.66 | $304.95 | |
Medica
| Professional | $28.19 | $42.01 | $64.40 | |
United
| Professional | $21.14 | $42.01 | $64.40 |