| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.76 | $82.76 | $82.76 | |
Aetna
| Professional | $66.64 | $66.64 | $86.18 | |
BCBS
| Professional | $106.37 | $125.77 | $128.88 | |
Cigna
| Professional | $143.63 | $145.06 | $182.40 | |
Medica
| Facility | $55.92 | $86.18 | $587.62 | |
Medica
| Professional | $45.32 | $61.45 | $121.13 | |
United
| Professional | $43.34 | $51.57 | $92.25 |