| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $128.82 | $245.47 | |
Aetna
| Professional | $91.20 | $107.15 | $162.18 | |
BCBS
| Professional | $199.53 | $275.42 | $309.03 | |
Cigna
| Professional | $158.49 | $158.49 | $194.98 | |
Medica
| Facility | $81.28 | $104.71 | $245.47 | |
Medica
| Professional | $57.54 | $162.18 | $275.42 | |
United
| Professional | $57.54 | $141.25 | $234.42 |