| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.93 | $44.93 | $115.54 | |
Aetna
| Professional | $44.93 | $44.93 | $60.34 | |
BCBS
| Professional | $106.71 | $129.34 | $145.15 | |
Cigna
| Professional | $73.51 | $74.25 | $93.36 | |
Medica
| Facility | $44.93 | $76.38 | $304.89 | |
Medica
| Professional | $26.96 | $54.40 | $109.12 | |
United
| Professional | $26.96 | $32.10 | $93.08 |