| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.69 | $46.69 | $120.06 | |
Aetna
| Professional | $46.69 | $79.79 | $87.78 | |
BCBS
| Professional | $110.89 | $134.40 | $150.83 | |
Cigna
| Professional | $76.41 | $77.17 | $97.03 | |
Medica
| Facility | $46.69 | $100.05 | $316.83 | |
Medica
| Professional | $33.07 | $80.04 | $114.38 | |
United
| Professional | $28.01 | $68.03 | $114.38 |