| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.76 | $221.11 | $341.65 | |
Aetna
| Professional | $80.25 | $80.25 | $107.00 | |
BCBS
| Professional | $109.14 | $109.14 | $109.14 | |
Cigna
| Facility | $94.59 | $175.27 | $242.81 | |
Medica
| Facility | $85.60 | $107.00 | $143.94 | |
Medica
| Professional | $44.94 | $64.20 | $535.00 | |
United
| Professional | $44.94 | $64.20 | $160.50 |