| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Aetna
| Professional | $50.12 | $56.57 | $56.57 | |
BCBS
| Professional | $64.40 | $76.15 | $78.04 | |
Cigna
| Professional | $94.50 | $95.45 | $120.02 | |
Medica
| Facility | $30.75 | $56.57 | $362.42 | |
Medica
| Professional | $27.45 | $34.36 | $55.09 | |
United
| Professional | $22.04 | $34.36 | $55.09 |