| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.99 | $46.45 | $54.65 | |
Aetna
| Professional | $41.42 | $48.96 | $59.89 | |
BCBS
| Professional | $86.85 | $102.18 | $117.35 | |
Cigna
| Professional | $92.36 | $112.24 | $140.30 | |
Medica
| Facility | $41.42 | $54.65 | $214.62 | |
Medica
| Professional | $54.72 | $87.76 | $142.40 | |
United
| Professional | $60.34 | $98.38 | $142.40 |