| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.02 | $44.02 | $44.02 | |
Aetna
| Professional | $36.90 | $43.15 | $56.37 | |
BCBS
| Professional | $81.18 | $94.03 | $110.62 | |
Cigna
| Professional | $54.00 | $54.54 | $68.58 | |
Medica
| Facility | $43.15 | $44.02 | $74.83 | |
Medica
| Professional | $44.39 | $84.67 | $290.08 | |
United
| Professional | $44.39 | $81.16 | $109.61 |