| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.17 | $389.33 | $638.59 | |
BCBS
| Professional | $70.95 | $101.35 | $101.35 | |
Cigna
| Professional | $90.86 | $90.86 | $90.86 | |
Medica
| Facility | $344.64 | $389.33 | $521.70 | |
Medica
| Professional | $44.17 | $59.55 | $354.19 | |
United
| Professional | $44.17 | $54.14 | $81.26 |