| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $48.98 | $56.23 | $77.62 | |
BCBS
| Professional | $83.18 | $97.72 | $97.72 | |
Cigna
| Professional | $60.26 | $85.11 | $138.04 | |
Medica
| Facility | $53.70 | $67.61 | $125.89 | |
Medica
| Professional | $66.07 | $85.11 | $407.38 | |
United
| Professional | $61.66 | $79.43 | $112.20 |