| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.70 | $102.70 | $102.70 | |
Aetna
| Professional | $82.75 | $104.84 | $115.09 | |
BCBS
| Professional | $107.80 | $144.94 | $148.02 | |
Cigna
| Professional | $106.29 | $146.66 | $183.79 | |
Medica
| Facility | $98.50 | $119.81 | $174.96 | |
Medica
| Professional | $99.39 | $133.44 | $686.29 | |
United
| Professional | $99.39 | $122.78 | $203.81 |