| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $34.67 | $44.67 | $316.23 | |
BCBS
| Professional | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $138.04 | $181.97 | $229.09 | |
Medica
| Facility | $42.66 | $50.12 | $3,090.30 | |
Medica
| Professional | $50.12 | $61.66 | $891.25 | |
United
| Professional | $50.12 | $57.54 | $74.13 |