| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.30 | $66.30 | $66.30 | |
Aetna
| Professional | $55.33 | $55.33 | $66.30 | |
BCBS
| Professional | $82.57 | $96.62 | $98.29 | |
Cigna
| Professional | $100.50 | $101.51 | $127.64 | |
Medica
| Facility | $55.33 | $87.58 | $401.40 | |
Medica
| Professional | $38.08 | $61.04 | $91.56 | |
United
| Professional | $23.74 | $48.87 | $91.56 |