| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.67 | $104.67 | $140.25 | |
Aetna
| Professional | $104.67 | $104.67 | $104.67 | |
BCBS
| Professional | $93.88 | $110.84 | $111.83 | |
Cigna
| Professional | $96.00 | $96.96 | $120.00 | |
Medica
| Facility | $93.65 | $105.58 | $302.01 | |
Medica
| Professional | $107.32 | $108.70 | $118.43 | |
United
| Professional | $102.74 | $113.01 | $116.10 |