| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.04 | $60.04 | $205.97 | |
Aetna
| Professional | $60.04 | $80.62 | $80.62 | |
BCBS
| Professional | $190.23 | $230.58 | $258.76 | |
Cigna
| Professional | $131.75 | $133.06 | $167.32 | |
Medica
| Facility | $60.04 | $114.43 | $543.54 | |
Medica
| Professional | $36.02 | $95.30 | $145.81 | |
United
| Professional | $36.02 | $57.22 | $137.32 |