| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.32 | $57.32 | $147.38 | |
Aetna
| Professional | $57.32 | $57.32 | $76.97 | |
BCBS
| Professional | $136.12 | $164.99 | $185.15 | |
Cigna
| Professional | $94.16 | $95.11 | $119.59 | |
Medica
| Facility | $57.32 | $97.44 | $388.93 | |
Medica
| Professional | $34.39 | $95.13 | $139.19 | |
United
| Professional | $34.39 | $48.41 | $118.73 |