| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $74.13 | $141.25 | |
Aetna
| Professional | $52.48 | $60.26 | $74.13 | |
BCBS
| Professional | $114.82 | $158.49 | $177.83 | |
Cigna
| Professional | $83.18 | $83.18 | $102.33 | |
Medica
| Facility | $47.86 | $60.26 | $141.25 | |
Medica
| Professional | $33.11 | $93.33 | $158.49 | |
United
| Professional | $33.11 | $81.28 | $134.90 |