| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.23 | $73.23 | $73.87 | |
Aetna
| Professional | $60.23 | $62.55 | $73.87 | |
BCBS
| Professional | $97.32 | $97.32 | $114.49 | |
Cigna
| Professional | $71.29 | $101.00 | $151.24 | |
Medica
| Facility | $61.98 | $78.62 | $164.42 | |
Medica
| Professional | $79.04 | $99.20 | $464.35 | |
United
| Professional | $75.14 | $90.99 | $126.93 |