| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.00 | $60.00 | $60.00 | |
Aetna
| Professional | $57.45 | $57.45 | $57.45 | |
BCBS
| Professional | $480.00 | $480.00 | $480.00 | |
Cigna
| Professional | $14.25 | $14.25 | $14.25 | |
Medica
| Facility | $57.45 | $57.45 | $67.22 | |
United
| Professional | $48.00 | $48.00 | $48.00 |