| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.86 | $39.86 | $39.86 | |
Aetna
| Professional | $19.23 | $26.17 | $39.86 | |
BCBS
| Professional | $39.51 | $39.51 | $39.51 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
Medica
| Facility | $20.02 | $32.67 | $78.25 | |
Medica
| Professional | $12.01 | $18.01 | $302.14 | |
United
| Professional | $12.01 | $18.01 | $24.81 |