| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.57 | $58.57 | $58.57 | |
Aetna
| Professional | $58.57 | $66.12 | $66.12 | |
BCBS
| Professional | $42.00 | $49.41 | $49.41 | |
Cigna
| Facility | $37.90 | $54.91 | $122.92 | |
Medica
| Facility | $49.79 | $64.36 | $69.42 | |
Medica
| Professional | $54.77 | $74.79 | $550.08 | |
United
| Professional | $54.13 | $74.79 | $162.88 |