| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.36 | $51.36 | $132.07 | |
Aetna
| Professional | $51.36 | $68.97 | $68.97 | |
BCBS
| Professional | $110.45 | $147.84 | $165.08 | |
Cigna
| Professional | $84.25 | $84.25 | $123.69 | |
Medica
| Facility | $44.02 | $55.76 | $132.07 | |
Medica
| Professional | $38.47 | $89.59 | $146.74 | |
United
| Professional | $30.82 | $88.04 | $124.73 |