| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.89 | $60.89 | $60.89 | |
Aetna
| Professional | $50.81 | $50.81 | $60.89 | |
BCBS
| Professional | $79.08 | $92.54 | $94.14 | |
Cigna
| Professional | $96.38 | $97.34 | $122.40 | |
Medica
| Facility | $50.81 | $72.42 | $391.25 | |
Medica
| Professional | $34.96 | $51.18 | $76.77 | |
United
| Professional | $27.84 | $48.71 | $76.77 |