| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.65 | $65.65 | $328.40 | |
Aetna
| Professional | $32.95 | $63.88 | $77.28 | |
BCBS
| Professional | $95.94 | $111.12 | $153.65 | |
Cigna
| Professional | $63.38 | $64.01 | $80.48 | |
Medica
| Facility | $35.54 | $65.65 | $80.36 | |
Medica
| Professional | $66.77 | $120.85 | $488.59 | |
United
| Professional | $66.77 | $115.05 | $141.69 |