| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.89 | $7.89 | $150.77 | |
Aetna
| Professional | $7.89 | $7.89 | $78.73 | |
BCBS
| Professional | $139.25 | $168.78 | $189.40 | |
Cigna
| Professional | $96.23 | $97.19 | $122.21 | |
Medica
| Facility | $7.89 | $59.47 | $397.86 | |
Medica
| Professional | $35.18 | $83.76 | $142.38 | |
United
| Professional | $35.18 | $42.72 | $117.26 |