| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.07 | $53.07 | $53.07 | |
Aetna
| Professional | $52.29 | $53.07 | $67.45 | |
BCBS
| Professional | $104.22 | $104.22 | $104.22 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Medica
| Facility | $52.29 | $71.48 | $194.07 | |
Medica
| Professional | $33.65 | $65.91 | $555.50 | |
United
| Professional | $33.65 | $55.34 | $76.03 |