| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.33 | $173.49 | $196.24 | |
Aetna
| Professional | $53.10 | $55.10 | $66.38 | |
BCBS
| Professional | $50.43 | $59.54 | $60.39 | |
Cigna
| Professional | $56.42 | $69.38 | $86.72 | |
Medica
| Facility | $53.10 | $90.27 | $192.40 | |
Medica
| Professional | $56.50 | $56.50 | $252.24 | |
United
| Professional | $56.50 | $56.50 | $63.28 |