| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.76 | $66.76 | $66.76 | |
Aetna
| Professional | $66.76 | $76.05 | $76.05 | |
BCBS
| Professional | $85.80 | $101.44 | $103.97 | |
Cigna
| Professional | $105.38 | $106.43 | $133.83 | |
Medica
| Facility | $39.96 | $71.04 | $423.35 | |
Medica
| Professional | $36.56 | $60.67 | $74.22 | |
United
| Professional | $26.96 | $45.78 | $73.12 |