| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.22 | $28.22 | $28.22 | |
Aetna
| Professional | $20.57 | $20.57 | $28.22 | |
BCBS
| Professional | $36.26 | $42.87 | $43.94 | |
Cigna
| Professional | $44.63 | $45.07 | $56.67 | |
Medica
| Facility | $17.89 | $29.94 | $178.59 | |
Medica
| Professional | $15.45 | $19.35 | $37.47 | |
United
| Professional | $13.38 | $27.11 | $40.67 |