| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.75 | $118.72 | $118.72 | |
Aetna
| Professional | $80.75 | $117.00 | $160.30 | |
BCBS
| Professional | $194.67 | $232.45 | $260.86 | |
Cigna
| Professional | $132.57 | $133.90 | $168.37 | |
Medica
| Facility | $64.59 | $89.98 | $242.25 | |
Medica
| Professional | $57.68 | $138.43 | $230.72 | |
United
| Professional | $48.45 | $117.67 | $197.80 |