| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.25 | $23.25 | $74.86 | |
Aetna
| Professional | $23.25 | $61.77 | $85.06 | |
BCBS
| Professional | $115.17 | $129.04 | $151.82 | |
Cigna
| Professional | $41.51 | $76.34 | $159.32 | |
Medica
| Facility | $23.25 | $56.58 | $108.17 | |
Medica
| Professional | $83.37 | $139.36 | $226.03 | |
United
| Professional | $83.37 | $145.38 | $161.57 |