| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.94 | $152.51 | $396.53 | |
Aetna
| Professional | $72.63 | $89.94 | $96.04 | |
BCBS
| Professional | $134.61 | $134.61 | $134.61 | |
Cigna
| Facility | $125.76 | $189.82 | $424.89 | |
Medica
| Facility | $81.84 | $92.43 | $144.56 | |
Medica
| Professional | $95.28 | $120.07 | $228.30 | |
United
| Professional | $95.28 | $118.54 | $164.92 |