| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.88 | $38.88 | $99.97 | |
Aetna
| Professional | $38.88 | $38.88 | $52.21 | |
BCBS
| Professional | $92.33 | $111.91 | $125.59 | |
Cigna
| Professional | $64.02 | $64.66 | $81.30 | |
Medica
| Facility | $38.88 | $66.09 | $263.82 | |
Medica
| Professional | $23.33 | $55.54 | $94.42 | |
United
| Professional | $23.33 | $55.54 | $77.76 |