| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.89 | $66.89 | $66.89 | |
Aetna
| Professional | $61.79 | $61.79 | $66.89 | |
BCBS
| Professional | $85.95 | $101.63 | $104.15 | |
Cigna
| Professional | $103.13 | $104.16 | $130.97 | |
Medica
| Facility | $36.04 | $66.89 | $416.19 | |
Medica
| Professional | $33.74 | $42.21 | $73.25 | |
United
| Professional | $21.55 | $38.02 | $73.25 |