| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.15 | $47.15 | $121.25 | |
Aetna
| Professional | $47.15 | $47.15 | $63.32 | |
BCBS
| Professional | $111.98 | $135.72 | $152.32 | |
Cigna
| Professional | $77.23 | $78.00 | $98.08 | |
Medica
| Facility | $47.15 | $101.04 | $321.95 | |
Medica
| Professional | $28.29 | $80.83 | $115.50 | |
United
| Professional | $28.29 | $47.12 | $115.50 |