| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.50 | $82.89 | $110.98 | |
BCBS
| Facility | $31.20 | $31.20 | $34.32 | |
BCBS
| Professional | $70.17 | $70.17 | $83.78 | |
Cigna
| Professional | $64.41 | $80.88 | $125.05 | |
Medica
| Facility | $63.46 | $84.00 | $136.38 | |
Medica
| Professional | $66.90 | $80.39 | $545.41 | |
United
| Professional | $66.90 | $75.95 | $125.90 |