| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.56 | $66.56 | $66.56 | |
Aetna
| Professional | $66.56 | $66.56 | $66.56 | |
BCBS
| Professional | $57.40 | $67.77 | $68.73 | |
Cigna
| Professional | $61.13 | $61.74 | $76.41 | |
Medica
| Facility | $66.56 | $66.56 | $199.68 | |
Medica
| Professional | $69.18 | $70.06 | $76.58 | |
United
| Professional | $63.70 | $70.06 | $71.98 |