| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.94 | $40.94 | $105.28 | |
Aetna
| Professional | $29.25 | $40.94 | $54.98 | |
BCBS
| Professional | $88.05 | $117.86 | $131.60 | |
Cigna
| Professional | $67.31 | $67.31 | $98.83 | |
Medica
| Facility | $35.09 | $44.45 | $105.28 | |
Medica
| Professional | $29.83 | $70.19 | $116.98 | |
United
| Professional | $24.57 | $59.66 | $99.43 |