| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.02 | $71.89 | $84.58 | |
Aetna
| Professional | $55.56 | $72.20 | $110.36 | |
BCBS
| Professional | $110.70 | $144.76 | $172.43 | |
Cigna
| Professional | $79.95 | $95.11 | $118.89 | |
Medica
| Facility | $66.68 | $83.04 | $129.87 | |
Medica
| Professional | $79.29 | $112.13 | $491.49 | |
United
| Professional | $77.02 | $106.55 | $163.92 |