| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.90 | $36.90 | $94.88 | |
Aetna
| Professional | $36.90 | $36.90 | $49.55 | |
BCBS
| Professional | $87.63 | $106.21 | $119.19 | |
Cigna
| Professional | $60.71 | $61.32 | $77.09 | |
Medica
| Facility | $36.90 | $62.73 | $250.37 | |
Medica
| Professional | $22.14 | $52.71 | $89.61 | |
United
| Professional | $22.14 | $53.76 | $73.79 |