| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $323.59 | $645.65 | |
Aetna
| Professional | $114.82 | $141.25 | $173.78 | |
BCBS
| Professional | $177.83 | $177.83 | $177.83 | |
Cigna
| Facility | $158.49 | $316.23 | $398.11 | |
Medica
| Facility | $141.25 | $173.78 | $234.42 | |
Medica
| Professional | $74.13 | $104.71 | $870.96 | |
United
| Facility | $74.13 | $173.78 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $229.09 |