| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.25 | $46.25 | $46.25 | |
Aetna
| Professional | $22.33 | $25.13 | $46.25 | |
BCBS
| Professional | $45.85 | $45.85 | $45.85 | |
Cigna
| Professional | $17.09 | $17.09 | $17.09 | |
Medica
| Facility | $22.54 | $34.76 | $77.56 | |
Medica
| Professional | $13.93 | $20.90 | $272.08 | |
United
| Professional | $13.93 | $20.23 | $28.79 |