| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.06 | $76.06 | $76.06 | |
Aetna
| Professional | $69.06 | $76.06 | $80.27 | |
BCBS
| Professional | $97.76 | $115.59 | $118.46 | |
Cigna
| Professional | $133.88 | $135.21 | $170.02 | |
Medica
| Facility | $58.29 | $80.27 | $557.39 | |
Medica
| Professional | $41.65 | $57.90 | $86.93 | |
United
| Professional | $34.77 | $52.16 | $86.93 |