| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.95 | $89.95 | $89.95 | |
Aetna
| Professional | $42.90 | $66.39 | $89.95 | |
BCBS
| Professional | $118.06 | $118.06 | $118.06 | |
Cigna
| Facility | $60.80 | $60.80 | $79.81 | |
Cigna
| Professional | $60.80 | $60.80 | $131.25 | |
Medica
| Facility | $42.90 | $84.21 | $436.04 | |
Medica
| Professional | $31.84 | $51.21 | $101.09 | |
United
| Professional | $31.84 | $56.33 | $101.09 |