| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.50 | $43.50 | $111.85 | |
Aetna
| Professional | $43.50 | $43.50 | $58.41 | |
BCBS
| Professional | $103.30 | $125.21 | $140.52 | |
Cigna
| Professional | $71.45 | $72.16 | $90.74 | |
Medica
| Facility | $43.50 | $73.95 | $295.17 | |
Medica
| Professional | $26.10 | $62.14 | $105.64 | |
United
| Professional | $26.10 | $31.69 | $90.10 |