| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.67 | $58.56 | $127.00 | |
Aetna
| Professional | $54.86 | $62.75 | $76.06 | |
Aetna
| Professional | 25 | $70.06 | $70.06 | $70.06 |
BCBS
| Professional | $142.83 | $155.75 | $183.24 | |
Cigna
| Professional | $109.96 | $142.46 | $183.97 | |
Medica
| Facility | $68.89 | $81.03 | $206.67 | |
Medica
| Professional | $67.95 | $126.38 | $179.42 | |
United
| Professional | $70.37 | $124.55 | $179.42 |