| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.71 | $41.71 | $41.71 | |
Aetna
| Professional | $30.42 | $39.40 | $41.71 | |
BCBS
| Professional | $53.61 | $63.39 | $64.95 | |
Cigna
| Professional | $65.63 | $66.28 | $83.34 | |
Medica
| Facility | $26.45 | $41.71 | $264.05 | |
Medica
| Professional | $22.84 | $28.60 | $58.15 | |
United
| Professional | $16.85 | $28.06 | $45.68 |