| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.97 | $78.97 | $78.97 | |
Aetna
| Professional | $61.87 | $78.97 | $94.89 | |
BCBS
| Professional | $125.45 | $145.31 | $170.95 | |
Cigna
| Professional | $81.75 | $82.57 | $103.82 | |
Medica
| Facility | $70.39 | $78.97 | $105.59 | |
Medica
| Professional | $81.20 | $147.53 | $472.57 | |
United
| Professional | $81.20 | $143.26 | $196.64 |