| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.44 | $153.44 | $153.44 | |
BCBS
| Professional | $143.81 | $155.27 | $182.67 | |
Cigna
| Professional | $94.40 | $117.99 | $162.40 | |
Medica
| Facility | $95.08 | $135.04 | $211.20 | |
Medica
| Professional | $95.64 | $190.16 | $1,240.30 | |
United
| Professional | $95.64 | $175.19 | $239.82 |