| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.28 | $90.69 | $108.14 | |
Aetna
| Professional | $40.14 | $40.14 | $90.69 | |
BCBS
| Professional | $116.56 | $137.82 | $141.24 | |
Cigna
| Professional | $144.38 | $145.82 | $183.36 | |
Medica
| Facility | $41.35 | $90.69 | $670.88 | |
Medica
| Professional | $49.67 | $72.56 | $127.83 | |
United
| Professional | $48.70 | $72.56 | $147.96 |