| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $77.62 | $151.36 | |
Aetna
| Professional | $7.08 | $75.86 | $100.00 | |
BCBS
| Professional | $123.03 | $165.96 | $190.55 | |
Cigna
| Professional | $95.50 | $95.50 | $123.03 | |
Medica
| Facility | $7.94 | $58.88 | $398.11 | |
Medica
| Professional | $35.48 | $42.66 | $141.25 | |
United
| Professional | $35.48 | $83.18 | $120.23 |