| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.95 | $90.95 | $90.95 | |
Aetna
| Professional | $37.77 | $66.76 | $90.95 | |
BCBS
| Professional | $124.09 | $124.09 | $124.09 | |
Cigna
| Professional | $43.91 | $82.96 | $148.13 | |
Medica
| Facility | $30.94 | $85.14 | $476.75 | |
Medica
| Professional | $30.42 | $50.71 | $129.88 | |
United
| Professional | $30.94 | $50.67 | $70.91 |