| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.13 | $131.07 | $307.10 | |
Aetna
| Professional | $18.25 | $22.58 | $58.59 | |
BCBS
| Professional | $39.40 | $52.53 | $58.95 | |
Cigna
| Professional | $30.15 | $30.45 | $38.29 | |
Medica
| Facility | $18.51 | $84.75 | $172.42 | |
Medica
| Professional | $10.95 | $27.04 | $44.32 | |
United
| Professional | $10.95 | $26.07 | $36.50 |