| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.24 | $44.24 | $44.24 | |
Aetna
| Professional | $30.97 | $44.24 | $156.00 | |
BCBS
| Professional | $47.92 | $58.98 | $139.35 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Medica
| Facility | $44.24 | $73.73 | $144.51 | |
Medica
| Professional | $29.75 | $33.43 | $648.41 | |
United
| Professional | $24.30 | $31.27 | $52.11 |