| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.16 | $41.16 | $41.16 | |
Aetna
| Professional | $41.16 | $48.84 | $55.46 | |
BCBS
| Professional | $65.69 | $77.28 | $77.28 | |
Cigna
| Professional | $43.15 | $43.15 | $70.34 | |
Medica
| Facility | $40.54 | $47.67 | $63.49 | |
Medica
| Professional | $56.24 | $66.87 | $336.96 | |
United
| Professional | $55.31 | $60.06 | $85.53 |