| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.44 | $92.44 | $92.44 | |
Aetna
| Professional | $44.63 | $50.23 | $92.44 | |
BCBS
| Professional | $91.64 | $91.64 | $91.64 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
Medica
| Facility | $45.08 | $69.51 | $155.71 | |
Medica
| Professional | $27.84 | $41.77 | $544.17 | |
United
| Professional | $27.84 | $41.77 | $57.56 |