| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.08 | $67.08 | $74.11 | |
Aetna
| Professional | $55.10 | $74.09 | $100.51 | |
BCBS
| Professional | $51.30 | $65.90 | $106.83 | |
Cigna
| Professional | $55.00 | $84.00 | $112.59 | |
Medica
| Facility | $60.75 | $79.15 | $123.41 | |
Medica
| Professional | $69.19 | $111.36 | $491.49 | |
United
| Professional | $69.00 | $88.53 | $162.40 |