| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.49 | $63.49 | $63.49 | |
Aetna
| Professional | $52.96 | $52.96 | $63.49 | |
BCBS
| Professional | $83.78 | $98.04 | $99.73 | |
Cigna
| Professional | $102.00 | $103.02 | $129.54 | |
Medica
| Facility | $52.96 | $72.18 | $407.44 | |
Medica
| Professional | $35.96 | $49.99 | $74.98 | |
United
| Professional | $27.39 | $49.99 | $74.98 |