| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $60.26 | $72.44 | $93.33 | |
BCBS
| Professional | $85.11 | $100.00 | $123.03 | |
Cigna
| Professional | $75.86 | $100.00 | $128.82 | |
Medica
| Facility | $64.57 | $72.44 | $120.23 | |
Medica
| Professional | $63.10 | $128.82 | $575.44 | |
United
| Professional | $60.26 | $93.33 | $151.36 |