| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.35 | $55.35 | $55.35 | |
Aetna
| Professional | $43.56 | $55.35 | $66.11 | |
BCBS
| Professional | $84.02 | $97.31 | $114.48 | |
Cigna
| Professional | $54.75 | $55.30 | $69.53 | |
Medica
| Facility | $47.25 | $55.35 | $70.88 | |
Medica
| Professional | $57.02 | $102.62 | $332.57 | |
United
| Professional | $57.02 | $100.93 | $137.82 |