| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.65 | $57.65 | $57.65 | |
Aetna
| Professional | $49.09 | $49.09 | $57.65 | |
BCBS
| Professional | $60.55 | $70.84 | $72.08 | |
Cigna
| Professional | $73.88 | $74.61 | $93.82 | |
Medica
| Facility | $49.09 | $94.16 | $310.56 | |
Medica
| Professional | $33.83 | $61.49 | $103.48 | |
United
| Professional | $22.76 | $61.49 | $103.48 |