| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $57.54 | $112.20 | |
Aetna
| Professional | $42.66 | $54.95 | $74.13 | |
BCBS
| Professional | $91.20 | $123.03 | $141.25 | |
Cigna
| Professional | $70.79 | $70.79 | $91.20 | |
Medica
| Facility | $43.65 | $74.13 | $295.12 | |
Medica
| Professional | $26.30 | $31.62 | $104.71 | |
United
| Professional | $26.30 | $61.66 | $89.13 |