| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.43 | $65.43 | $65.43 | |
Aetna
| Professional | $54.02 | $54.02 | $65.43 | |
BCBS
| Professional | $84.08 | $99.41 | $101.89 | |
Cigna
| Professional | $104.25 | $105.29 | $132.40 | |
Medica
| Facility | $50.14 | $65.43 | $472.21 | |
Medica
| Professional | $35.83 | $52.35 | $92.22 | |
United
| Professional | $29.91 | $44.87 | $74.78 |