| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.96 | $53.96 | $53.96 | |
Aetna
| Professional | $53.96 | $53.96 | $67.45 | |
BCBS
| Professional | $89.93 | $89.93 | $89.93 | |
Cigna
| Professional | $43.91 | $43.91 | $118.50 | |
Medica
| Facility | $30.94 | $70.81 | $476.75 | |
Medica
| Professional | $30.42 | $49.10 | $101.59 | |
United
| Professional | $30.42 | $47.75 | $68.75 |