| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $57.54 | $75.86 | $102.33 | |
BCBS
| Professional | $85.11 | $104.71 | $123.03 | |
Cigna
| Professional | $54.95 | $83.18 | $162.18 | |
Medica
| Facility | $63.10 | $79.43 | $154.88 | |
Medica
| Professional | $75.86 | $114.82 | $489.78 | |
United
| Professional | $72.44 | $100.00 | $141.25 |