| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.21 | $36.21 | $56.06 | |
Aetna
| Professional | $33.25 | $44.05 | $77.59 | |
BCBS
| Professional | $83.26 | $98.05 | $150.34 | |
Cigna
| Professional | $44.55 | $98.55 | $173.12 | |
Medica
| Facility | $36.21 | $60.39 | $101.14 | |
Medica
| Professional | $58.10 | $99.50 | $514.16 | |
United
| Professional | $58.10 | $102.84 | $137.13 |