| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.58 | $56.58 | $56.58 | |
Aetna
| Professional | $30.35 | $56.07 | $61.57 | |
BCBS
| Professional | $83.20 | $83.20 | $83.20 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
Medica
| Facility | $55.74 | $70.73 | $152.03 | |
Medica
| Professional | $30.75 | $55.51 | $637.82 | |
United
| Professional | $26.86 | $42.98 | $65.31 |