| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.92 | $35.92 | $92.36 | |
Aetna
| Professional | $35.92 | $48.23 | $67.52 | |
BCBS
| Professional | $77.23 | $103.39 | $115.45 | |
Cigna
| Professional | $59.06 | $59.06 | $86.70 | |
Medica
| Facility | $30.79 | $39.00 | $92.36 | |
Medica
| Professional | $30.79 | $74.40 | $102.62 | |
United
| Professional | $21.55 | $52.34 | $87.99 |