| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.26 | $67.26 | $67.26 | |
Aetna
| Professional | $49.85 | $64.66 | $67.26 | |
BCBS
| Professional | $86.45 | $102.21 | $104.75 | |
Cigna
| Professional | $108.00 | $109.08 | $137.16 | |
Medica
| Facility | $43.43 | $67.26 | $432.48 | |
Medica
| Professional | $36.83 | $45.98 | $73.66 | |
United
| Professional | $32.42 | $65.68 | $98.52 |