| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.58 | $71.58 | $184.07 | |
Aetna
| Professional | $51.13 | $96.12 | $105.61 | |
BCBS
| Professional | $153.93 | $206.05 | $230.09 | |
Cigna
| Professional | $117.29 | $117.29 | $172.19 | |
Medica
| Facility | $61.36 | $77.72 | $184.07 | |
Medica
| Professional | $52.15 | $122.71 | $204.52 | |
United
| Professional | $42.95 | $104.31 | $173.84 |