| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.15 | $75.15 | $75.15 | |
Aetna
| Professional | $75.15 | $75.15 | $90.93 | |
BCBS
| Professional | $65.98 | $77.90 | $78.59 | |
Cigna
| Professional | $76.58 | $77.34 | $95.72 | |
Medica
| Facility | $73.84 | $75.15 | $127.76 | |
Medica
| Professional | $74.73 | $75.69 | $82.42 | |
United
| Professional | $72.20 | $79.43 | $81.59 |