| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.27 | $73.27 | $73.27 | |
Aetna
| Professional | $60.49 | $60.49 | $81.00 | |
BCBS
| Professional | $94.15 | $111.32 | $114.09 | |
Cigna
| Professional | $135.00 | $136.35 | $171.45 | |
Medica
| Facility | $48.07 | $81.00 | $535.05 | |
Medica
| Professional | $40.11 | $58.62 | $110.00 | |
United
| Professional | $39.34 | $55.78 | $116.57 |