| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.10 | $45.10 | $45.10 | |
Aetna
| Professional | $32.89 | $34.22 | $45.10 | |
BCBS
| Professional | $57.94 | $68.51 | $70.22 | |
Cigna
| Professional | $70.88 | $71.58 | $90.01 | |
Medica
| Facility | $28.26 | $45.10 | $285.48 | |
Medica
| Professional | $24.70 | $30.34 | $49.39 | |
United
| Professional | $21.39 | $25.48 | $49.39 |