| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.41 | $57.41 | $57.41 | |
Aetna
| Professional | $47.91 | $47.91 | $57.41 | |
BCBS
| Professional | $71.16 | $83.27 | $84.71 | |
Cigna
| Professional | $86.63 | $87.49 | $110.01 | |
Medica
| Facility | $47.91 | $76.67 | $349.46 | |
Medica
| Professional | $32.97 | $53.17 | $79.76 | |
United
| Professional | $24.51 | $42.90 | $79.76 |