| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.31 | $61.31 | $64.92 | |
Aetna
| Professional | $50.04 | $61.31 | $64.92 | |
BCBS
| Professional | $115.07 | $136.41 | $159.44 | |
Cigna
| Professional | $64.13 | $70.06 | $86.72 | |
Medica
| Facility | $59.31 | $77.83 | $107.53 | |
Medica
| Professional | $66.23 | $121.25 | $377.52 | |
United
| Professional | $59.72 | $121.25 | $161.65 |