| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.53 | $264.80 | $264.80 | |
Aetna
| Professional | $50.53 | $52.18 | $52.83 | |
BCBS
| Professional | $120.01 | $145.46 | $163.24 | |
Cigna
| Professional | $83.01 | $83.84 | $105.43 | |
Medica
| Facility | $50.53 | $85.90 | $342.90 | |
Medica
| Professional | $30.32 | $72.19 | $122.72 | |
United
| Professional | $30.32 | $72.19 | $101.07 |