| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.27 | $118.27 | $118.27 | |
Aetna
| Professional | $78.92 | $94.88 | $118.27 | |
BCBS
| Professional | $89.72 | $106.08 | $108.72 | |
Cigna
| Professional | $111.38 | $112.49 | $141.44 | |
Medica
| Facility | $52.32 | $98.89 | $469.03 | |
Medica
| Professional | $64.76 | $79.54 | $129.52 | |
United
| Facility | $71.01 | $71.01 | $71.01 | |
United
| Professional | $40.60 | $81.09 | $129.52 |