| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.53 | $75.53 | $136.44 | |
Aetna
| Professional | $72.73 | $75.53 | $87.96 | |
BCBS
| Professional | $139.87 | $139.87 | $139.87 | |
Cigna
| Facility | $133.72 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $133.72 | $133.72 | |
Medica
| Facility | $63.06 | $117.60 | $620.42 | |
Medica
| Professional | $65.12 | $97.68 | $161.69 | |
United
| Professional | $65.12 | $93.60 | $140.13 |