| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.83 | $75.83 | $75.83 | |
Aetna
| Professional | $63.28 | $63.28 | $75.83 | |
BCBS
| Professional | $93.88 | $109.86 | $111.76 | |
Cigna
| Professional | $114.38 | $115.52 | $145.26 | |
Medica
| Facility | $63.28 | $101.52 | $473.38 | |
Medica
| Professional | $43.56 | $71.37 | $107.06 | |
United
| Professional | $33.25 | $83.12 | $110.97 |