| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $69.20 | |
Aetna
| Professional | $47.03 | $52.53 | $69.20 | |
BCBS
| Professional | $54.04 | $63.90 | $65.48 | |
Cigna
| Professional | $67.13 | $67.80 | $85.25 | |
Medica
| Facility | $20.78 | $57.80 | $256.42 | |
Medica
| Professional | $37.90 | $48.04 | $76.93 | |
United
| Professional | $23.72 | $46.48 | $75.79 |