| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.09 | $45.09 | $115.94 | |
Aetna
| Professional | $45.09 | $45.09 | $60.55 | |
BCBS
| Professional | $107.08 | $129.79 | $145.63 | |
Cigna
| Professional | $73.93 | $74.67 | $93.89 | |
Medica
| Facility | $45.09 | $76.65 | $305.95 | |
Medica
| Professional | $27.05 | $64.41 | $109.50 | |
United
| Professional | $27.05 | $32.85 | $93.39 |