| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.34 | $69.34 | $81.23 | |
Aetna
| Professional | $68.51 | $81.23 | $103.16 | |
BCBS
| Professional | $85.05 | $100.93 | $136.49 | |
Cigna
| Professional | $80.25 | $117.98 | $164.86 | |
Medica
| Facility | $69.34 | $97.48 | $177.64 | |
Medica
| Professional | $85.46 | $128.19 | $721.97 | |
United
| Professional | $85.65 | $111.25 | $151.69 |