| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.89 | $73.89 | $79.47 | |
Aetna
| Professional | $58.99 | $73.89 | $75.28 | |
BCBS
| Professional | $160.47 | $189.74 | $194.46 | |
Cigna
| Professional | $114.00 | $115.14 | $144.78 | |
Medica
| Facility | $40.02 | $73.89 | $414.18 | |
Medica
| Professional | $41.99 | $58.65 | $87.97 | |
United
| Professional | $31.16 | $58.65 | $87.97 |