| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $57.54 | $70.79 | $91.20 | |
BCBS
| Professional | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
Medica
| Facility | $66.07 | $83.18 | $194.98 | |
Medica
| Professional | $72.44 | $93.33 | $602.56 | |
United
| Professional | $72.44 | $91.20 | $134.90 |