| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.94 | $77.94 | $818.33 | |
Aetna
| Professional | $77.94 | $79.56 | $121.95 | |
BCBS
| Professional | $82.25 | $102.86 | $112.94 | |
Cigna
| Professional | $92.99 | $114.61 | $141.60 | |
Medica
| Facility | $71.02 | $81.84 | $134.40 | |
Medica
| Professional | $76.30 | $105.55 | $509.49 | |
United
| Professional | $74.55 | $104.63 | $157.22 |