| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.59 | $67.59 | $67.59 | |
Aetna
| Professional | $49.32 | $63.88 | $67.59 | |
BCBS
| Professional | $86.88 | $102.72 | $105.28 | |
Cigna
| Professional | $106.50 | $107.57 | $135.26 | |
Medica
| Facility | $42.90 | $67.59 | $428.17 | |
Medica
| Professional | $37.02 | $45.49 | $74.04 | |
United
| Professional | $27.32 | $45.49 | $74.04 |