| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $72.44 | $89.13 | |
Aetna
| Professional | $41.69 | $57.54 | $125.89 | |
BCBS
| Professional | $79.43 | $104.71 | $114.82 | |
Cigna
| Professional | $123.03 | $123.03 | $154.88 | |
Medica
| Facility | $29.51 | $69.18 | $478.63 | |
Medica
| Professional | $38.02 | $47.86 | $95.50 | |
United
| Facility | $47.86 | $154.88 | $154.88 | |
United
| Professional | $31.62 | $51.29 | $114.82 |