| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.76 | $47.76 | $57.14 | |
Aetna
| Professional | $41.19 | $48.79 | $60.81 | |
BCBS
| Professional | $87.42 | $101.78 | $130.61 | |
Cigna
| Professional | $63.44 | $94.52 | $155.07 | |
Medica
| Facility | $36.17 | $48.57 | $85.32 | |
Medica
| Professional | $59.19 | $110.48 | $312.52 | |
United
| Professional | $59.19 | $99.43 | $135.07 |