| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.73 | $26.73 | $101.26 | |
Aetna
| Professional | $51.31 | $59.38 | $101.26 | |
BCBS
| Professional | $103.50 | $103.50 | $103.50 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Medica
| Facility | $51.31 | $96.89 | $194.07 | |
Medica
| Professional | $39.58 | $59.38 | $555.50 | |
United
| Professional | $39.58 | $59.38 | $89.45 |