| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.70 | $62.70 | $62.70 | |
Aetna
| Professional | $53.96 | $62.70 | $69.59 | |
BCBS
| Professional | $80.58 | $95.27 | $97.64 | |
Cigna
| Professional | $116.25 | $117.41 | $147.63 | |
Medica
| Facility | $37.82 | $69.59 | $456.49 | |
Medica
| Professional | $34.33 | $47.73 | $71.66 | |
United
| Professional | $28.66 | $45.80 | $71.66 |