| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.41 | $59.41 | $59.41 | |
Aetna
| Professional | $54.48 | $59.41 | $59.41 | |
BCBS
| Professional | $104.23 | $113.65 | $134.29 | |
Cigna
| Professional | $74.15 | $96.06 | $155.07 | |
Medica
| Facility | $59.41 | $73.22 | $178.23 | |
Medica
| Professional | $66.01 | $112.68 | $139.79 | |
United
| Professional | $66.84 | $113.70 | $139.79 |