| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.16 | $64.16 | $164.99 | |
Aetna
| Professional | $64.16 | $86.16 | $86.16 | |
BCBS
| Professional | $137.97 | $184.69 | $206.24 | |
Cigna
| Professional | $105.32 | $105.32 | $154.61 | |
Medica
| Facility | $55.00 | $71.48 | $164.99 | |
Medica
| Professional | $55.00 | $132.91 | $183.32 | |
United
| Professional | $38.50 | $109.99 | $155.82 |