| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $56.23 | $64.57 | $91.20 | |
BCBS
| Professional | $95.50 | $112.20 | $112.20 | |
Cigna
| Professional | $69.18 | $97.72 | $154.88 | |
Medica
| Facility | $61.66 | $77.62 | $141.25 | |
Medica
| Professional | $75.86 | $97.72 | $467.74 | |
United
| Professional | $70.79 | $91.20 | $128.82 |