| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $93.33 | |
Aetna
| Professional | $41.69 | $41.69 | $41.69 | |
BCBS
| Professional | $75.86 | $102.33 | $117.49 | |
Cigna
| Professional | $58.88 | $58.88 | $75.86 | |
Medica
| Facility | $41.69 | $72.44 | $245.47 | |
Medica
| Professional | $17.78 | $44.67 | $72.44 | |
United
| Professional | $17.78 | $44.67 | $63.10 |