| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $194.98 | $263.03 | |
Aetna
| Professional | $50.12 | $52.48 | $85.11 | |
BCBS
| Professional | $104.71 | $144.54 | $162.18 | |
Cigna
| Professional | $83.18 | $83.18 | $104.71 | |
Medica
| Facility | $50.12 | $85.11 | $346.74 | |
Medica
| Professional | $30.20 | $37.15 | $123.03 | |
United
| Professional | $30.20 | $72.44 | $104.71 |