| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.62 | $54.62 | $54.62 | |
Aetna
| Professional | $54.62 | $56.65 | $56.65 | |
BCBS
| Professional | $70.19 | $82.99 | $85.06 | |
Cigna
| Professional | $94.50 | $95.45 | $120.02 | |
Medica
| Facility | $31.75 | $56.65 | $353.81 | |
Medica
| Professional | $29.71 | $37.35 | $59.81 | |
United
| Professional | $22.43 | $37.35 | $59.81 |