| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $45.71 | $53.70 | |
Aetna
| Professional | $30.90 | $44.67 | $60.26 | |
BCBS
| Professional | $87.10 | $102.33 | $117.49 | |
Cigna
| Professional | $97.72 | $112.20 | $141.25 | |
Medica
| Facility | $41.69 | $54.95 | $213.80 | |
Medica
| Professional | $54.95 | $87.10 | $141.25 | |
United
| Professional | $52.48 | $91.20 | $123.03 |