| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.08 | $120.00 | $451.67 | |
Aetna
| Professional | $60.09 | $96.82 | $265.52 | |
Aetna
| Professional | 52 | $33.15 | $48.34 | $57.25 |
BCBS
| Professional | $137.41 | $177.85 | $263.01 | |
Cigna
| Professional | $131.13 | $219.41 | $361.82 | |
Medica
| Facility | $67.44 | $114.65 | $313.33 | |
Medica
| Professional | $122.35 | $222.42 | $328.00 | |
United
| Professional | $112.26 | $193.60 | $243.72 |