| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.51 | $93.51 | $93.51 | |
Aetna
| Professional | $56.87 | $62.39 | $93.51 | |
BCBS
| Professional | $68.28 | $80.73 | $82.74 | |
Cigna
| Professional | $84.75 | $85.60 | $107.63 | |
Medica
| Facility | $40.15 | $73.03 | $324.51 | |
Medica
| Professional | $43.19 | $57.54 | $102.41 | |
United
| Facility | $149.47 | $149.47 | $149.47 | |
United
| Professional | $29.37 | $51.83 | $102.41 |