| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.18 | $85.18 | $85.18 | |
Aetna
| Professional | $71.26 | $80.45 | $85.18 | |
BCBS
| Professional | $109.46 | $129.41 | $132.63 | |
Cigna
| Professional | $134.25 | $135.59 | $170.50 | |
Medica
| Facility | $48.17 | $85.18 | $539.41 | |
Medica
| Professional | $46.64 | $58.41 | $93.28 | |
United
| Professional | $34.42 | $57.31 | $93.28 |