| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.06 | $43.06 | $110.74 | |
Aetna
| Professional | $43.06 | $57.83 | $57.83 | |
BCBS
| Professional | $92.60 | $123.96 | $138.41 | |
Cigna
| Professional | $70.62 | $70.62 | $103.68 | |
Medica
| Facility | $36.90 | $46.76 | $110.74 | |
Medica
| Professional | $31.38 | $73.81 | $123.04 | |
United
| Professional | $25.84 | $62.75 | $104.58 |