| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.13 | $51.13 | $124.03 | |
Aetna
| Professional | $44.97 | $54.61 | $151.46 | |
BCBS
| Professional | $70.77 | $77.17 | $91.19 | |
Cigna
| Professional | $50.44 | $74.81 | $183.03 | |
Medica
| Facility | $51.13 | $124.03 | $372.09 | |
Medica
| Professional | $148.84 | $254.08 | $297.04 | |
United
| Professional | $77.31 | $267.69 | $297.04 |