| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.51 | $323.91 | $500.50 | |
Aetna
| Professional | $103.46 | $136.37 | $156.75 | |
BCBS
| Professional | $195.94 | $195.94 | $195.94 | |
Cigna
| Facility | $138.57 | $256.76 | $355.77 | |
Medica
| Facility | $125.40 | $156.75 | $210.87 | |
Medica
| Professional | $65.84 | $94.05 | $780.62 | |
United
| Facility | $94.05 | $94.05 | $156.75 | |
United
| Professional | $65.84 | $94.05 | $235.13 |