| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.42 | $28.42 | $30.57 | |
Aetna
| Professional | $22.69 | $28.42 | $29.18 | |
BCBS
| Professional | $192.76 | $227.91 | $233.58 | |
Cigna
| Professional | $34.13 | $34.47 | $43.34 | |
Medica
| Facility | $15.49 | $28.42 | $159.28 | |
Medica
| Professional | $16.14 | $22.55 | $33.83 | |
United
| Professional | $11.98 | $22.55 | $33.83 |