| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.08 | $72.08 | $72.08 | |
Aetna
| Professional | $57.27 | $57.27 | $72.08 | |
BCBS
| Professional | $82.52 | $96.56 | $98.23 | |
Cigna
| Professional | $100.50 | $101.51 | $127.64 | |
Medica
| Facility | $57.27 | $104.41 | $411.79 | |
Medica
| Professional | $39.43 | $72.20 | $112.67 | |
United
| Professional | $28.88 | $56.34 | $112.67 |