| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $53.70 | $104.71 | |
Aetna
| Professional | $39.81 | $53.70 | $173.78 | |
BCBS
| Professional | $75.86 | $112.20 | $131.83 | |
Cigna
| Professional | $66.07 | $66.07 | $85.11 | |
Medica
| Facility | $40.74 | $69.18 | $537.03 | |
Medica
| Professional | $28.84 | $40.74 | $100.00 | |
United
| Professional | $28.84 | $58.88 | $97.72 |