| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.56 | $49.56 | $49.56 | |
Aetna
| Professional | $41.35 | $44.15 | $49.56 | |
BCBS
| Professional | $69.25 | $69.25 | $81.47 | |
Cigna
| Professional | $44.04 | $44.04 | $71.81 | |
Medica
| Facility | $40.14 | $45.97 | $67.14 | |
Medica
| Professional | $54.84 | $67.30 | $332.57 | |
United
| Professional | $53.91 | $64.37 | $85.33 |