| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.04 | $69.76 | $88.96 | |
Aetna
| Professional | $57.60 | $57.60 | $73.59 | |
BCBS
| Professional | $89.67 | $106.02 | $108.65 | |
Cigna
| Professional | $122.63 | $123.85 | $155.72 | |
Medica
| Facility | $21.25 | $69.76 | $474.60 | |
Medica
| Professional | $31.89 | $47.84 | $79.73 | |
United
| Professional | $27.11 | $47.84 | $79.73 |