| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $57.54 | $64.57 | $83.18 | |
BCBS
| Professional | $97.72 | $114.82 | $114.82 | |
Cigna
| Professional | $66.07 | $66.07 | $107.15 | |
Medica
| Facility | $61.66 | $69.18 | $97.72 | |
Medica
| Professional | $77.62 | $102.33 | $467.74 | |
United
| Professional | $77.62 | $97.72 | $125.89 |