| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.26 | $14.26 | $181.98 | |
Aetna
| Professional | $11.66 | $101.59 | $181.98 | |
BCBS
| Professional | $5.53 | $7.23 | $8.61 | |
Cigna
| Professional | $40.13 | $42.53 | $50.96 | |
Medica
| Facility | $12.12 | $18.54 | $202.46 | |
Medica
| Professional | $23.82 | $108.85 | $806.50 | |
United
| Professional | $23.82 | $31.59 | $266.04 |