| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $42.13 | $51.43 | |
Aetna
| Professional | $42.13 | $42.13 | $46.34 | |
BCBS
| Professional | $85.50 | $103.63 | $116.30 | |
Cigna
| Professional | $59.10 | $59.69 | $75.06 | |
Medica
| Facility | $42.13 | $71.62 | $244.29 | |
Medica
| Professional | $17.73 | $44.56 | $61.96 | |
United
| Professional | $17.73 | $43.06 | $71.77 |