| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $69.20 | |
Aetna
| Professional | $50.39 | $50.39 | $69.20 | |
BCBS
| Professional | $88.94 | $105.15 | $107.77 | |
Cigna
| Professional | $108.75 | $109.84 | $138.11 | |
Medica
| Facility | $43.82 | $69.20 | $437.39 | |
Medica
| Professional | $37.90 | $46.48 | $75.79 | |
United
| Professional | $32.78 | $41.86 | $93.91 |