| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.19 | $35.19 | $35.19 | |
Aetna
| Professional | $31.84 | $31.84 | $35.19 | |
BCBS
| Professional | $45.24 | $53.49 | $54.82 | |
Cigna
| Professional | $53.25 | $53.78 | $67.63 | |
Medica
| Facility | $24.42 | $35.19 | $237.18 | |
Medica
| Professional | $19.05 | $24.13 | $38.54 | |
United
| Professional | $14.88 | $24.13 | $38.54 |