| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.63 | $72.63 | $72.63 | |
Aetna
| Professional | $60.62 | $60.62 | $72.63 | |
BCBS
| Professional | $86.26 | $100.95 | $102.69 | |
Cigna
| Professional | $105.00 | $106.05 | $133.35 | |
Medica
| Facility | $60.62 | $106.27 | $436.04 | |
Medica
| Professional | $41.74 | $72.91 | $106.14 | |
United
| Professional | $31.84 | $79.61 | $106.14 |