| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $40.74 | $57.54 | |
Aetna
| Professional | $30.20 | $42.66 | $77.62 | |
BCBS
| Professional | $87.10 | $112.20 | $144.54 | |
Cigna
| Professional | $93.33 | $123.03 | $186.21 | |
Medica
| Facility | $31.62 | $41.69 | $75.86 | |
Medica
| Professional | $46.77 | $79.43 | $398.11 | |
United
| Professional | $38.02 | $69.18 | $125.89 |