| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.17 | $42.17 | $42.17 | |
Aetna
| Professional | $40.00 | $40.00 | $42.17 | |
BCBS
| Professional | $55.16 | $64.55 | $65.66 | |
Cigna
| Professional | $77.63 | $78.40 | $98.58 | |
Medica
| Facility | $40.00 | $51.84 | $317.39 | |
Medica
| Professional | $23.09 | $36.79 | $54.59 | |
United
| Professional | $19.28 | $33.72 | $54.59 |