| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.41 | $81.41 | $81.41 | |
Aetna
| Professional | $39.29 | $53.45 | $81.41 | |
BCBS
| Professional | $80.70 | $80.70 | $80.70 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Medica
| Facility | $40.89 | $66.70 | $165.06 | |
Medica
| Professional | $24.52 | $36.79 | $648.41 | |
United
| Professional | $24.52 | $36.79 | $50.66 |