| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.36 | $124.36 | $125.69 | |
Aetna
| Professional | $25.01 | $35.22 | $101.70 | |
BCBS
| Professional | $47.15 | $54.17 | $60.17 | |
Cigna
| Professional | $30.56 | $30.56 | $38.20 | |
Medica
| Facility | $15.97 | $20.22 | $33.54 | |
Medica
| Professional | $35.13 | $95.40 | $3,255.68 | |
United
| Professional | $27.14 | $27.14 | $58.28 |