| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.75 | $92.75 | $136.69 | |
Aetna
| Professional | $89.31 | $92.75 | $104.55 | |
BCBS
| Professional | $171.75 | $171.75 | $171.75 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $226.13 | |
Medica
| Facility | $56.16 | $117.81 | $908.81 | |
Medica
| Professional | $57.99 | $93.49 | $194.00 | |
United
| Professional | $57.99 | $86.98 | $124.79 |