| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $60.26 | $114.82 | |
Aetna
| Professional | $44.67 | $57.54 | $77.62 | |
BCBS
| Professional | $95.50 | $128.82 | $144.54 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
Medica
| Facility | $44.67 | $75.86 | $309.03 | |
Medica
| Professional | $26.92 | $33.11 | $109.65 | |
United
| Professional | $26.92 | $64.57 | $93.33 |