| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.04 | $54.27 | $141.10 | |
Aetna
| Professional | $29.16 | $32.89 | $42.62 | |
BCBS
| Professional | $188.68 | $188.68 | $188.68 | |
Cigna
| Facility | $103.62 | $117.62 | $276.30 | |
Medica
| Facility | $32.04 | $40.28 | $98.74 | |
Medica
| Professional | $158.15 | $173.97 | $1,006.55 | |
United
| Facility | $163.02 | $163.02 | $163.02 | |
United
| Professional | $117.90 | $162.88 | $256.85 |