| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.73 | $69.73 | $148.27 | |
Aetna
| Professional | $69.73 | $69.73 | $99.67 | |
BCBS
| Facility | $75.65 | $76.03 | $76.59 | |
BCBS
| Professional | $64.30 | $75.91 | $77.00 | |
Cigna
| Professional | $81.00 | $81.81 | $101.25 | |
Medica
| Facility | $82.37 | $93.86 | $350.53 | |
Medica
| Professional | $32.95 | $82.37 | $92.25 | |
United
| Professional | $27.89 | $69.73 | $78.09 |