| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.98 | $76.98 | $76.98 | |
Aetna
| Professional | $63.84 | $73.22 | $76.98 | |
BCBS
| Professional | $142.68 | $167.86 | $184.05 | |
Cigna
| Professional | $82.51 | $150.10 | $209.28 | |
Medica
| Facility | $65.44 | $87.74 | $164.42 | |
Medica
| Professional | $79.04 | $140.62 | $464.35 | |
United
| Professional | $68.94 | $122.65 | $191.71 |