| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.91 | $31.91 | $41.30 | |
Aetna
| Professional | $29.26 | $41.30 | $57.90 | |
BCBS
| Professional | $84.02 | $107.05 | $141.54 | |
Cigna
| Professional | $71.91 | $129.85 | $184.60 | |
Medica
| Facility | $31.91 | $41.30 | $75.61 | |
Medica
| Professional | $46.27 | $84.12 | $394.41 | |
United
| Professional | $42.22 | $78.95 | $107.63 |