| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.69 | $73.69 | $104.06 | |
Aetna
| Professional | $62.45 | $82.36 | $110.29 | |
BCBS
| Professional | $49.35 | $76.95 | $116.79 | |
Cigna
| Professional | $58.51 | $104.73 | $135.69 | |
Medica
| Facility | $72.80 | $102.80 | $159.47 | |
Medica
| Professional | $73.91 | $98.44 | $830.18 | |
United
| Professional | $73.91 | $92.39 | $127.73 |