| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.29 | $28.29 | $28.29 | |
Aetna
| Professional | $15.17 | $27.87 | $37.61 | |
BCBS
| Professional | $41.60 | $41.60 | $41.60 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Medica
| Facility | $27.87 | $35.36 | $76.02 | |
Medica
| Professional | $15.38 | $27.75 | $319.80 | |
United
| Professional | $13.43 | $21.49 | $32.65 |