| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.66 | $48.66 | $125.14 | |
Aetna
| Professional | $48.66 | $71.26 | $71.79 | |
BCBS
| Professional | $115.57 | $140.08 | $157.19 | |
Cigna
| Professional | $80.12 | $80.92 | $101.75 | |
Medica
| Facility | $48.66 | $82.72 | $330.22 | |
Medica
| Professional | $29.20 | $69.52 | $118.18 | |
United
| Professional | $29.20 | $82.56 | $97.33 |