| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $53.70 | $61.66 | |
Aetna
| Professional | $42.66 | $53.70 | $69.18 | |
BCBS
| Professional | $83.18 | $83.18 | $102.33 | |
Cigna
| Professional | $53.70 | $81.28 | $112.20 | |
Medica
| Facility | $45.71 | $57.54 | $87.10 | |
Medica
| Professional | $69.18 | $91.20 | $426.58 | |
United
| Professional | $58.88 | $74.13 | $95.50 |