| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.96 | $210.24 | $569.09 | |
Aetna
| Professional | $94.85 | $106.97 | $121.24 | |
BCBS
| Facility | $86.77 | $329.51 | $521.99 | |
BCBS
| Professional | $82.61 | $120.16 | $582.03 | |
Cigna
| Facility | $98.14 | $250.32 | $417.20 | |
Medica
| Facility | $95.56 | $142.63 | $254.28 | |
Medica
| Professional | $59.90 | $59.90 | $713.15 | |
United
| Professional | $59.90 | $59.90 | $85.58 |