| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $43.65 | $64.57 | |
Aetna
| Professional | $25.12 | $42.66 | $64.57 | |
BCBS
| Professional | $85.11 | $123.03 | $165.96 | |
Cigna
| Professional | $109.65 | $141.25 | $218.78 | |
Medica
| Facility | $25.70 | $44.67 | $77.62 | |
Medica
| Professional | $47.86 | $87.10 | $436.52 | |
United
| Professional | $41.69 | $69.18 | $134.90 |