| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.04 | $36.04 | $36.04 | |
Aetna
| Professional | $34.08 | $34.08 | $36.04 | |
BCBS
| Professional | $46.31 | $54.75 | $56.11 | |
Cigna
| Professional | $57.00 | $57.57 | $72.39 | |
Medica
| Facility | $14.53 | $36.04 | $228.34 | |
Medica
| Professional | $19.73 | $24.26 | $39.47 | |
United
| Professional | $14.57 | $24.26 | $39.47 |