| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.91 | $57.91 | $57.91 | |
Aetna
| Professional | $49.15 | $49.15 | $57.91 | |
BCBS
| Professional | $75.59 | $88.45 | $89.98 | |
Cigna
| Professional | $92.25 | $93.17 | $117.16 | |
Medica
| Facility | $49.15 | $67.92 | $380.20 | |
Medica
| Professional | $33.82 | $47.03 | $70.54 | |
United
| Professional | $25.66 | $67.18 | $79.42 |