| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.93 | $170.65 | $466.80 | |
Aetna
| Professional | $35.00 | $89.62 | $240.30 | |
BCBS
| Professional | $73.64 | $95.30 | $228.97 | |
Cigna
| Professional | $68.72 | $150.31 | $314.35 | |
Medica
| Facility | $38.93 | $101.01 | $171.72 | |
Medica
| Professional | $102.49 | $187.60 | $264.70 | |
United
| Professional | $99.03 | $155.82 | $218.01 |