| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.92 | $56.92 | $56.92 | |
Aetna
| Professional | $52.64 | $56.92 | $73.73 | |
BCBS
| Professional | $97.15 | $105.94 | $125.17 | |
Cigna
| Professional | $71.12 | $92.14 | $148.74 | |
Medica
| Facility | $56.92 | $69.51 | $170.76 | |
Medica
| Professional | $63.36 | $108.16 | $134.74 | |
United
| Professional | $65.65 | $115.20 | $134.74 |