| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.03 | $52.03 | $133.79 | |
Aetna
| Professional | $52.03 | $76.45 | $77.80 | |
BCBS
| Professional | $111.89 | $149.77 | $167.24 | |
Cigna
| Professional | $85.49 | $85.49 | $125.50 | |
Medica
| Facility | $44.60 | $57.98 | $162.19 | |
Medica
| Professional | $44.60 | $107.78 | $148.66 | |
United
| Professional | $31.22 | $89.20 | $126.36 |