| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.96 | $59.00 | $69.41 | |
Aetna
| Professional | $45.92 | $58.20 | $75.03 | |
BCBS
| Professional | $103.22 | $120.96 | $148.35 | |
Cigna
| Professional | $72.78 | $141.61 | $191.03 | |
Medica
| Facility | $56.86 | $69.41 | $107.50 | |
Medica
| Professional | $57.17 | $79.81 | $1,114.04 | |
United
| Professional | $56.75 | $71.45 | $135.91 |