| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.31 | $28.31 | $28.31 | |
Aetna
| Professional | $25.14 | $28.98 | $44.61 | |
BCBS
| Professional | $30.67 | $37.74 | $89.17 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
Medica
| Facility | $28.98 | $47.18 | $125.65 | |
Medica
| Professional | $19.04 | $21.41 | $609.54 | |
United
| Professional | $16.68 | $20.01 | $34.07 |