| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.31 | $66.31 | $170.53 | |
Aetna
| Professional | $66.31 | $89.06 | $196.38 | |
BCBS
| Professional | $142.61 | $190.90 | $213.17 | |
Cigna
| Professional | $109.03 | $109.03 | $160.06 | |
Medica
| Facility | $56.84 | $73.90 | $170.53 | |
Medica
| Professional | $56.84 | $137.37 | $189.48 | |
United
| Professional | $39.79 | $96.63 | $161.06 |