| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.58 | $64.58 | $64.58 | |
Aetna
| Professional | $64.58 | $73.53 | $73.53 | |
BCBS
| Professional | $82.99 | $98.13 | $100.57 | |
Cigna
| Professional | $101.63 | $102.64 | $129.06 | |
Medica
| Facility | $38.65 | $68.70 | $410.39 | |
Medica
| Professional | $35.36 | $58.70 | $71.78 | |
United
| Professional | $26.09 | $58.70 | $93.09 |