| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.39 | $86.39 | $86.39 | |
Aetna
| Professional | $78.09 | $86.79 | $197.63 | |
BCBS
| Professional | $168.98 | $198.80 | $217.96 | |
Cigna
| Professional | $83.83 | $174.99 | $278.81 | |
Medica
| Facility | $83.37 | $136.65 | $300.62 | |
Medica
| Professional | $86.11 | $157.10 | $746.29 | |
United
| Professional | $71.87 | $126.83 | $193.70 |