| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.64 | $62.64 | $62.64 | |
Aetna
| Professional | $62.64 | $74.28 | $83.32 | |
BCBS
| Professional | $99.19 | $99.19 | $116.69 | |
Cigna
| Professional | $65.77 | $65.77 | $107.24 | |
Medica
| Facility | $60.76 | $73.34 | $94.44 | |
Medica
| Professional | $80.22 | $96.30 | $472.57 | |
United
| Professional | $77.14 | $92.62 | $124.62 |