| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $42.28 | $42.28 | |
Aetna
| Professional | $42.28 | $42.28 | $42.28 | |
BCBS
| Professional | $70.29 | $85.19 | $95.61 | |
Cigna
| Professional | $48.57 | $49.05 | $61.68 | |
Medica
| Facility | $42.28 | $63.42 | $200.83 | |
Medica
| Professional | $17.73 | $42.28 | $61.96 | |
United
| Professional | $17.73 | $21.41 | $61.96 |