| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.99 | $47.99 | $123.39 | |
Aetna
| Professional | $47.99 | $64.44 | $64.44 | |
BCBS
| Professional | $103.19 | $138.13 | $154.24 | |
Cigna
| Professional | $78.88 | $78.88 | $115.80 | |
Medica
| Facility | $38.71 | $52.10 | $123.39 | |
Medica
| Professional | $30.54 | $74.84 | $137.10 | |
United
| Professional | $28.79 | $74.84 | $116.54 |