| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.36 | $77.36 | $77.36 | |
Aetna
| Professional | $61.63 | $77.36 | $93.08 | |
BCBS
| Professional | $126.02 | $145.97 | $171.73 | |
Cigna
| Professional | $81.38 | $82.19 | $103.35 | |
Medica
| Facility | $70.25 | $77.36 | $105.38 | |
Medica
| Professional | $79.04 | $144.10 | $472.20 | |
United
| Professional | $79.04 | $139.90 | $192.63 |