| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $338.84 | |
Aetna
| Professional | $34.67 | $50.12 | $489.78 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Cigna
| Professional | $151.36 | $223.87 | $354.81 | |
Medica
| Facility | $58.88 | $58.88 | $58.88 | |
Medica
| Professional | $44.67 | $77.62 | $138.04 | |
United
| Professional | $39.81 | $69.18 | $104.71 |