| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $239.88 | $537.03 | |
Aetna
| Professional | $11.22 | $27.54 | $128.82 | |
BCBS
| Professional | $87.10 | $107.15 | $128.82 | |
Cigna
| Professional | $19.05 | $39.81 | $128.82 | |
Medica
| Facility | $12.30 | $51.29 | $125.89 | |
Medica
| Professional | $43.65 | $83.18 | $190.55 | |
United
| Professional | $13.80 | $37.15 | $107.15 |