| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $158.49 | $239.88 | |
Aetna
| Professional | $32.36 | $41.69 | $363.08 | |
BCBS
| Professional | $144.54 | $194.98 | $239.88 | |
Cigna
| Professional | $120.23 | $165.96 | $223.87 | |
Medica
| Facility | $39.81 | $39.81 | $81.28 | |
Medica
| Professional | $46.77 | $52.48 | $891.25 | |
United
| Professional | $44.67 | $50.12 | $64.57 |