| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.70 | $86.70 | $86.70 | |
Aetna
| Professional | $63.25 | $63.25 | $86.70 | |
BCBS
| Professional | $111.43 | $131.75 | $135.02 | |
Cigna
| Professional | $136.50 | $137.87 | $173.36 | |
Medica
| Facility | $55.02 | $86.70 | $549.05 | |
Medica
| Professional | $47.48 | $58.34 | $94.96 | |
United
| Facility | $168.53 | $168.53 | $168.53 | |
United
| Professional | $35.03 | $58.34 | $94.96 |