| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.22 | $40.22 | $40.22 | |
Aetna
| Professional | $40.22 | $46.30 | $46.30 | |
BCBS
| Professional | $51.68 | $61.10 | $62.62 | |
Cigna
| Professional | $64.13 | $64.77 | $81.44 | |
Medica
| Facility | $30.82 | $46.30 | $279.95 | |
Medica
| Professional | $22.02 | $41.36 | $45.96 | |
United
| Professional | $18.38 | $27.58 | $65.61 |