| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.91 | $104.91 | $104.91 | |
Aetna
| Professional | $40.70 | $57.01 | $104.91 | |
BCBS
| Professional | $104.00 | $104.00 | $104.00 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
Medica
| Facility | $52.70 | $80.70 | $183.09 | |
Medica
| Professional | $31.60 | $47.40 | $637.82 | |
United
| Professional | $31.60 | $47.40 | $65.31 |