| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $45.00 | $72.80 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $11.55 | $13.66 | $14.00 | |
Cigna
| Professional | $30.75 | $31.06 | $39.04 | |
Medica
| Facility | $25.00 | $25.00 | $90.00 | |
Medica
| Professional | $39.27 | $43.87 | $43.87 | |
United
| Professional | $43.87 | $43.87 | $43.87 |