| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $66.07 | $199.53 | |
Aetna
| Professional | $41.69 | $43.65 | $52.48 | |
BCBS
| Professional | $56.23 | $74.13 | $75.86 | |
Cigna
| Professional | $44.67 | $67.61 | $85.11 | |
Medica
| Facility | $42.66 | $70.79 | $125.89 | |
Medica
| Professional | $50.12 | $50.12 | $302.00 | |
United
| Professional | $50.12 | $50.12 | $56.23 |