| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.30 | $50.30 | $51.02 | |
Aetna
| Professional | $38.11 | $52.39 | $75.31 | |
BCBS
| Professional | $93.29 | $114.48 | $125.52 | |
Cigna
| Professional | $57.18 | $104.74 | $154.88 | |
Medica
| Facility | $50.30 | $69.31 | $97.74 | |
Medica
| Professional | $55.85 | $101.54 | $316.98 | |
United
| Professional | $55.85 | $93.60 | $130.74 |