| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.95 | $32.95 | $32.95 | |
Aetna
| Professional | $32.95 | $63.47 | $65.31 | |
BCBS
| Professional | $113.23 | $136.13 | $151.19 | |
Cigna
| Professional | $87.75 | $88.63 | $109.69 | |
Medica
| Facility | $32.95 | $56.02 | $132.07 | |
Medica
| Professional | $48.00 | $88.10 | $483.28 | |
United
| Professional | $48.00 | $86.35 | $113.06 |