| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.48 | $74.48 | $145.69 | |
Aetna
| Professional | $50.63 | $54.24 | $74.48 | |
BCBS
| Professional | $58.17 | $68.77 | $70.48 | |
Cigna
| Professional | $72.00 | $72.72 | $91.44 | |
Medica
| Facility | $34.88 | $62.21 | $275.93 | |
Medica
| Professional | $40.78 | $50.02 | $81.56 | |
United
| Professional | $25.53 | $50.02 | $81.56 |