| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $34.67 | $52.48 | $63.10 | |
BCBS
| Professional | $24.55 | $24.55 | $24.55 | |
Cigna
| Facility | $107.15 | $239.88 | $302.00 | |
Medica
| Facility | $45.71 | $53.70 | $151.36 | |
Medica
| Professional | $54.95 | $72.44 | $338.84 | |
United
| Facility | $19.05 | $69.18 | $72.44 | |
United
| Professional | $56.23 | $70.79 | $102.33 |