| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.00 | $138.69 | $639.08 | |
Aetna
| Professional | $54.18 | $92.48 | $224.49 | |
BCBS
| Professional | $123.62 | $236.13 | $314.83 | |
Cigna
| Professional | $114.12 | $204.28 | $362.05 | |
Medica
| Facility | $64.00 | $138.69 | $235.79 | |
Medica
| Professional | $132.72 | $221.22 | $1,018.00 | |
United
| Professional | $121.67 | $201.11 | $363.27 |