| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.68 | $50.68 | $59.68 | |
Aetna
| Professional | $42.81 | $50.86 | $61.70 | |
BCBS
| Professional | $84.02 | $107.05 | $134.72 | |
Cigna
| Professional | $89.78 | $127.86 | $175.72 | |
Medica
| Facility | $43.08 | $56.64 | $86.16 | |
Medica
| Professional | $68.44 | $124.44 | $376.47 | |
United
| Professional | $63.88 | $111.51 | $155.35 |