| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.96 | $60.96 | $60.96 | |
Aetna
| Professional | $60.96 | $73.39 | $82.51 | |
BCBS
| Professional | $63.44 | $74.63 | $74.63 | |
Cigna
| Professional | $64.28 | $64.28 | $64.28 | |
Medica
| Facility | $60.96 | $78.31 | $196.56 | |
Medica
| Professional | $73.26 | $91.78 | $605.91 | |
United
| Professional | $73.26 | $91.92 | $150.26 |