| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.99 | $106.11 | $137.22 | |
BCBS
| Facility | $38.38 | $38.38 | $42.21 | |
BCBS
| Professional | $107.13 | $107.13 | $127.92 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
Medica
| Facility | $63.93 | $123.26 | $175.84 | |
Medica
| Professional | $61.43 | $66.44 | $871.65 | |
United
| Professional | $60.05 | $66.44 | $100.08 |