| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.70 | $70.70 | $70.70 | |
Aetna
| Professional | $58.37 | $73.15 | $73.15 | |
BCBS
| Professional | $90.87 | $107.44 | $110.12 | |
Cigna
| Professional | $121.88 | $123.09 | $154.78 | |
Medica
| Facility | $45.10 | $73.15 | $510.63 | |
Medica
| Professional | $38.72 | $48.49 | $80.81 | |
United
| Professional | $32.32 | $48.49 | $80.81 |