| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.46 | $48.46 | $48.46 | |
Aetna
| Professional | $23.40 | $31.82 | $48.46 | |
BCBS
| Professional | $48.05 | $48.05 | $48.05 | |
Cigna
| Professional | $17.91 | $17.91 | $17.91 | |
Medica
| Facility | $24.35 | $39.74 | $98.29 | |
Medica
| Professional | $14.60 | $21.90 | $394.00 | |
United
| Professional | $14.60 | $21.90 | $30.18 |