| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.37 | $65.37 | $65.37 | |
Aetna
| Professional | $47.67 | $47.67 | $65.37 | |
BCBS
| Professional | $84.02 | $99.34 | $101.82 | |
Cigna
| Professional | $103.13 | $104.16 | $130.97 | |
Medica
| Facility | $26.34 | $65.37 | $413.81 | |
Medica
| Professional | $35.79 | $43.97 | $72.66 | |
United
| Professional | $26.40 | $39.60 | $71.59 |