| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.92 | $40.92 | $78.42 | |
Aetna
| Professional | $39.40 | $40.92 | $62.39 | |
BCBS
| Professional | $75.78 | $75.78 | $75.78 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $67.20 | $77.70 | |
Medica
| Facility | $33.46 | $63.91 | $324.51 | |
Medica
| Professional | $34.54 | $53.80 | $99.72 | |
United
| Facility | $105.88 | $105.88 | $105.88 | |
United
| Professional | $34.54 | $51.83 | $74.34 |