| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.21 | $46.21 | $46.21 | |
Aetna
| Professional | $33.70 | $37.07 | $46.21 | |
BCBS
| Professional | $59.39 | $70.22 | $71.97 | |
Cigna
| Professional | $72.75 | $73.48 | $92.39 | |
Medica
| Facility | $18.62 | $46.21 | $292.55 | |
Medica
| Professional | $25.30 | $31.08 | $50.60 | |
United
| Professional | $18.66 | $31.08 | $50.60 |