| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.22 | $163.25 | $252.25 | |
Aetna
| Professional | $59.25 | $59.25 | $79.00 | |
BCBS
| Professional | $98.75 | $98.75 | $98.75 | |
Cigna
| Facility | $69.84 | $129.40 | $179.04 | |
Medica
| Facility | $64.78 | $79.00 | $106.28 | |
Medica
| Professional | $33.18 | $47.40 | $395.00 | |
United
| Professional | $33.18 | $47.40 | $130.35 |