| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $47.86 | $51.29 | $61.66 | |
BCBS
| Professional | $104.71 | $117.49 | $141.25 | |
Cigna
| Professional | $60.26 | $60.26 | $75.86 | |
Medica
| Facility | $19.95 | $53.70 | $275.42 | |
Medica
| Professional | $58.88 | $85.11 | $125.89 | |
United
| Professional | $58.88 | $95.50 | $125.89 |