| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.30 | $65.30 | $65.30 | |
Aetna
| Professional | $56.71 | $56.71 | $65.30 | |
BCBS
| Professional | $86.09 | $100.74 | $102.49 | |
Cigna
| Professional | $105.00 | $106.05 | $133.35 | |
Medica
| Facility | $56.71 | $74.50 | $402.15 | |
Medica
| Professional | $37.10 | $51.58 | $77.36 | |
United
| Professional | $28.33 | $49.58 | $77.36 |