| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.95 | $40.95 | $40.95 | |
Aetna
| Professional | $34.52 | $36.84 | $69.52 | |
BCBS
| Professional | $81.70 | $96.13 | $110.40 | |
Cigna
| Professional | $47.63 | $48.10 | $60.48 | |
Medica
| Facility | $15.00 | $41.66 | $218.97 | |
Medica
| Professional | $45.65 | $66.40 | $97.57 | |
United
| Professional | $45.65 | $83.00 | $97.57 |