| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.34 | $65.34 | $216.00 | |
Aetna
| Professional | $44.88 | $63.61 | $77.56 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $101.48 | $120.63 | $300.91 | |
Medica
| Facility | $57.68 | $91.31 | $135.38 | |
Medica
| Professional | $69.29 | $121.88 | $334.80 | |
United
| Professional | $69.29 | $112.74 | $221.82 |