| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.75 | $75.75 | $111.64 | |
Aetna
| Professional | $72.95 | $75.75 | $85.40 | |
BCBS
| Professional | $140.28 | $140.28 | $140.28 | |
Cigna
| Facility | $88.96 | $88.96 | $88.96 | |
Cigna
| Professional | $64.94 | $88.96 | $88.96 | |
Medica
| Facility | $45.85 | $96.21 | $742.11 | |
Medica
| Professional | $47.35 | $76.36 | $158.44 | |
United
| Professional | $47.35 | $72.23 | $101.89 |