| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.51 | $28.51 | $28.51 | |
Aetna
| Professional | $15.17 | $27.10 | $85.60 | |
BCBS
| Professional | $30.88 | $38.01 | $89.79 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Medica
| Facility | $28.51 | $47.51 | $84.96 | |
Medica
| Professional | $19.17 | $21.55 | $319.80 | |
United
| Professional | $19.17 | $20.14 | $34.28 |