| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.45 | $21.45 | $21.45 | |
Aetna
| Professional | $21.45 | $23.88 | $23.88 | |
BCBS
| Professional | $27.57 | $32.59 | $33.40 | |
Cigna
| Professional | $33.00 | $33.33 | $41.91 | |
Medica
| Facility | $12.00 | $23.12 | $140.91 | |
Medica
| Professional | $11.74 | $19.88 | $23.83 | |
United
| Professional | $8.84 | $19.88 | $23.48 |