| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.19 | $37.19 | $37.19 | |
Aetna
| Professional | $37.19 | $42.34 | $42.34 | |
BCBS
| Professional | $47.79 | $56.50 | $57.91 | |
Cigna
| Professional | $58.50 | $59.09 | $74.30 | |
Medica
| Facility | $22.26 | $39.58 | $235.45 | |
Medica
| Professional | $20.36 | $33.79 | $41.33 | |
United
| Professional | $15.02 | $33.79 | $40.72 |