| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $64.57 | $123.03 | |
Aetna
| Professional | $40.74 | $52.48 | $81.28 | |
BCBS
| Professional | $89.13 | $131.83 | $154.88 | |
Cigna
| Professional | $79.43 | $79.43 | $97.72 | |
Medica
| Facility | $38.90 | $52.48 | $123.03 | |
Medica
| Professional | $28.84 | $70.79 | $138.04 | |
United
| Professional | $28.84 | $69.18 | $117.49 |