| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $186.21 | $630.96 | |
BCBS
| Professional | $97.72 | $114.82 | $138.04 | |
Cigna
| Professional | $64.57 | $134.90 | $204.17 | |
Medica
| Facility | $93.33 | $151.36 | $257.04 | |
Medica
| Professional | $107.15 | $186.21 | $1,023.29 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $74.13 | $112.20 | $208.93 |