| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.45 | $133.38 | $203.49 | |
BCBS
| Professional | $46.89 | $185.73 | $185.73 | |
Cigna
| Professional | $89.20 | $195.47 | $303.00 | |
Medica
| Facility | $114.02 | $163.69 | $280.62 | |
Medica
| Professional | $175.98 | $283.56 | $1,019.28 | |
United
| Professional | $107.40 | $183.14 | $250.60 |