| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $45.00 | $316.00 | |
BCBS
| Professional | $120.00 | $142.80 | $201.60 | |
Cigna
| Professional | $150.00 | $210.00 | $285.63 | |
Medica
| Facility | $35.00 | $104.00 | $3,395.00 | |
Medica
| Professional | $38.00 | $55.00 | $901.12 | |
United
| Professional | $36.00 | $47.00 | $85.00 |