| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.91 | $85.91 | $85.91 | |
Aetna
| Professional | $71.33 | $71.33 | $85.91 | |
BCBS
| Professional | $108.55 | $127.03 | $129.22 | |
Cigna
| Professional | $132.38 | $133.69 | $168.12 | |
Medica
| Facility | $71.33 | $93.17 | $523.65 | |
Medica
| Professional | $49.09 | $64.50 | $114.05 | |
United
| Facility | $6.52 | $48.89 | $65.18 | |
United
| Professional | $34.52 | $64.50 | $128.31 |