| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.07 | $47.07 | $47.07 | |
Aetna
| Professional | $22.72 | $30.76 | $47.07 | |
BCBS
| Professional | $46.66 | $46.66 | $46.66 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Medica
| Facility | $23.64 | $42.26 | $95.46 | |
Medica
| Professional | $14.18 | $21.27 | $418.74 | |
United
| Professional | $14.18 | $21.27 | $29.30 |