| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.29 | $156.62 | $175.28 | |
Aetna
| Professional | $25.17 | $26.30 | $169.99 | |
BCBS
| Professional | $58.34 | $70.70 | $79.34 | |
Cigna
| Professional | $40.06 | $40.46 | $50.88 | |
Medica
| Facility | $24.56 | $38.77 | $166.68 | |
Medica
| Professional | $17.55 | $42.11 | $70.18 | |
United
| Professional | $14.74 | $35.09 | $59.65 |