| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.46 | $828.57 | $828.57 | |
Aetna
| Professional | $55.46 | $57.53 | $69.33 | |
BCBS
| Professional | $51.57 | $60.88 | $61.76 | |
Cigna
| Professional | $58.93 | $69.38 | $86.72 | |
Medica
| Facility | $53.34 | $69.34 | $95.01 | |
Medica
| Professional | $55.56 | $57.78 | $253.35 | |
United
| Professional | $57.78 | $57.78 | $63.56 |