| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.36 | $28.36 | $57.75 | |
Aetna
| Professional | $28.36 | $28.36 | $50.00 | |
BCBS
| Professional | $39.32 | $46.49 | $47.65 | |
Cigna
| Professional | $10.71 | $10.71 | $10.71 | |
Medica
| Facility | $28.36 | $28.36 | $55.00 | |
Medica
| Professional | $11.04 | $17.66 | $23.18 | |
United
| Professional | $8.83 | $13.25 | $22.41 |