| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.99 | $45.99 | $45.99 | |
Aetna
| Professional | $45.99 | $51.99 | $51.99 | |
BCBS
| Professional | $60.60 | $60.60 | $60.60 | |
Cigna
| Facility | $37.90 | $54.91 | $122.92 | |
Medica
| Facility | $45.99 | $51.99 | $77.56 | |
Medica
| Professional | $54.13 | $70.83 | $426.56 | |
United
| Professional | $55.65 | $71.84 | $124.75 |