| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.97 | $35.97 | $35.97 | |
Aetna
| Professional | $35.97 | $45.82 | $45.82 | |
BCBS
| Professional | $46.25 | $54.68 | $56.04 | |
Cigna
| Professional | $76.50 | $77.27 | $97.16 | |
Medica
| Facility | $23.80 | $43.31 | $263.25 | |
Medica
| Professional | $19.70 | $27.42 | $41.12 | |
United
| Professional | $16.45 | $27.42 | $41.12 |