| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 | |
Aetna
| Professional | $63.00 | $73.59 | $84.66 | |
BCBS
| Professional | $80.53 | $97.78 | $115.04 | |
Cigna
| Professional | $66.06 | $66.06 | $107.72 | |
Medica
| Facility | $60.74 | $74.03 | $91.29 | |
Medica
| Professional | $77.72 | $93.48 | $472.20 | |
United
| Professional | $75.09 | $89.42 | $126.36 |