| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.17 | $65.17 | $65.17 | |
Aetna
| Professional | $50.64 | $50.64 | $65.17 | |
BCBS
| Professional | $83.76 | $99.03 | $101.50 | |
Cigna
| Professional | $84.38 | $85.22 | $107.16 | |
Medica
| Facility | $34.83 | $65.17 | $368.08 | |
Medica
| Professional | $30.30 | $38.63 | $71.37 | |
United
| Professional | $23.20 | $38.63 | $71.37 |