| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.50 | $72.50 | $75.98 | |
Aetna
| Professional | $53.62 | $72.50 | $95.04 | |
BCBS
| Professional | $78.23 | $102.31 | $120.37 | |
Cigna
| Professional | $80.77 | $92.06 | $106.71 | |
Medica
| Facility | $64.59 | $75.98 | $119.20 | |
Medica
| Professional | $86.96 | $133.78 | $575.00 | |
United
| Professional | $73.98 | $133.78 | $146.60 |