| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.23 | $50.23 | $50.23 | |
Aetna
| Professional | $25.91 | $50.23 | $73.31 | |
BCBS
| Professional | $54.42 | $66.98 | $158.22 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
Medica
| Facility | $50.23 | $83.72 | $149.71 | |
Medica
| Professional | $33.79 | $37.97 | $544.17 | |
United
| Professional | $29.59 | $35.50 | $60.44 |