| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.06 | $99.06 | $99.06 | |
Aetna
| Professional | $82.68 | $82.68 | $99.06 | |
BCBS
| Professional | $118.62 | $138.81 | $141.21 | |
Cigna
| Professional | $144.38 | $145.82 | $183.36 | |
Medica
| Facility | $82.68 | $142.57 | $582.10 | |
Medica
| Professional | $56.92 | $97.83 | $142.24 | |
United
| Professional | $41.00 | $71.00 | $142.24 |