| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.24 | $48.24 | $124.06 | |
Aetna
| Professional | $48.24 | $48.24 | $64.78 | |
BCBS
| Professional | $114.58 | $138.87 | $155.85 | |
Cigna
| Professional | $79.30 | $80.09 | $100.71 | |
Medica
| Facility | $48.24 | $82.01 | $327.37 | |
Medica
| Professional | $28.95 | $81.03 | $117.16 | |
United
| Professional | $28.95 | $41.33 | $101.29 |