| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.38 | $25.38 | $25.38 | |
Aetna
| Professional | $22.72 | $25.38 | $27.62 | |
BCBS
| Professional | $37.33 | $37.33 | $37.33 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Medica
| Facility | $25.01 | $38.93 | $75.67 | |
Medica
| Professional | $13.80 | $24.91 | $418.74 | |
United
| Professional | $12.05 | $19.67 | $29.30 |