| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.50 | $35.50 | $96.85 | |
Aetna
| Professional | $31.28 | $88.37 | $119.32 | |
BCBS
| Professional | $77.95 | $134.80 | $232.39 | |
Cigna
| Professional | $52.27 | $111.28 | $244.94 | |
Medica
| Facility | $35.50 | $96.85 | $159.59 | |
Medica
| Professional | $108.37 | $209.03 | $348.31 | |
United
| Professional | $98.52 | $187.19 | $238.90 |