| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.37 | $236.46 | $365.38 | |
Aetna
| Professional | $85.82 | $99.55 | $114.43 | |
BCBS
| Professional | $116.72 | $116.72 | $116.72 | |
Cigna
| Facility | $101.16 | $187.44 | $259.72 | |
Medica
| Facility | $91.54 | $114.43 | $165.29 | |
Medica
| Professional | $48.06 | $68.66 | $572.15 | |
United
| Professional | $48.06 | $68.66 | $101.19 |