| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $73.81 | |
Aetna
| Professional | $73.81 | $73.81 | $81.20 | |
BCBS
| Professional | $59.17 | $69.84 | $70.86 | |
Cigna
| Professional | $101.18 | $131.09 | $211.61 | |
Medica
| Facility | $73.81 | $77.70 | $221.46 | |
Medica
| Professional | $77.70 | $81.20 | $81.20 | |
United
| Professional | $73.81 | $81.20 | $83.42 |