| 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 | $101.13 | |
BCBS
| Professional | $85.05 | $101.77 | $136.49 | |
Cigna
| Professional | $66.88 | $113.88 | $153.79 | |
Medica
| Facility | $69.34 | $90.14 | $149.79 | |
Medica
| Professional | $85.65 | $120.05 | $636.69 | |
United
| Professional | $85.46 | $106.83 | $143.53 |