| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.15 | $75.15 | $75.15 | |
Aetna
| Professional | $49.34 | $61.27 | $75.15 | |
BCBS
| Professional | $96.59 | $114.20 | $117.04 | |
Cigna
| Professional | $118.50 | $119.69 | $150.50 | |
Medica
| Facility | $61.27 | $80.04 | $476.75 | |
Medica
| Professional | $41.15 | $51.53 | $83.53 | |
United
| Professional | $30.42 | $50.67 | $82.30 |