| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.89 | $95.89 | $95.89 | |
Aetna
| Professional | $84.31 | $84.31 | $95.89 | |
BCBS
| Professional | $123.23 | $145.69 | $149.33 | |
Cigna
| Professional | $140.63 | $142.03 | $178.59 | |
Medica
| Facility | $55.77 | $95.89 | $634.55 | |
Medica
| Professional | $50.45 | $65.75 | $105.01 | |
United
| Professional | $33.97 | $59.95 | $105.01 |