| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.96 | $96.96 | $96.96 | |
Aetna
| Professional | $56.27 | $73.25 | $109.06 | |
BCBS
| Professional | $81.19 | $98.59 | $123.26 | |
Cigna
| Professional | $54.00 | $84.00 | $123.48 | |
Medica
| Facility | $62.46 | $77.73 | $156.52 | |
Medica
| Professional | $75.91 | $115.18 | $491.49 | |
United
| Professional | $72.11 | $100.90 | $142.81 |