| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.96 | $81.96 | $120.57 | |
Aetna
| Professional | $75.79 | $109.03 | $123.11 | |
BCBS
| Professional | $163.72 | $245.77 | $310.35 | |
Cigna
| Professional | $118.03 | $208.44 | $328.97 | |
Medica
| Facility | $81.96 | $121.73 | $214.54 | |
Medica
| Professional | $125.59 | $226.27 | $600.40 | |
United
| Professional | $125.59 | $216.90 | $276.30 |