| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.68 | $66.68 | $66.68 | |
Aetna
| Professional | $66.68 | $76.20 | $76.94 | |
BCBS
| Professional | $110.97 | $136.09 | $136.09 | |
Cigna
| Facility | $100.03 | $100.03 | $100.03 | |
Cigna
| Professional | $73.02 | $100.03 | $100.03 | |
Medica
| Facility | $44.49 | $93.35 | $720.06 | |
Medica
| Professional | $45.94 | $91.07 | $153.72 | |
United
| Professional | $45.94 | $74.08 | $103.80 |