| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.97 | $21.97 | $341.36 | |
Aetna
| Professional | $21.97 | $159.31 | $414.21 | |
BCBS
| Professional | $41.42 | $607.96 | $772.78 | |
Cigna
| Professional | $35.90 | $66.38 | $902.80 | |
Medica
| Facility | $21.97 | $65.91 | $580.30 | |
Medica
| Professional | $35.74 | $195.17 | $344.90 | |
United
| Professional | $35.74 | $291.42 | $342.85 |