| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $62.22 | $73.84 | |
Aetna
| Professional | $39.07 | $61.52 | $74.72 | |
Aetna
| Professional | 25 | $14.48 | $70.06 | $76.20 |
BCBS
| Professional | $85.27 | $100.32 | $100.32 | |
Cigna
| Professional | $59.40 | $98.00 | $176.40 | |
Medica
| Facility | $67.17 | $85.52 | $336.07 | |
Medica
| Professional | $61.65 | $69.88 | $101.29 | |
United
| Professional | $61.65 | $70.12 | $101.29 |