| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.96 | $158.96 | $158.96 | |
Aetna
| Professional | $97.56 | $123.72 | $185.48 | |
BCBS
| Professional | $134.40 | $163.19 | $202.51 | |
Cigna
| Professional | $99.00 | $150.83 | $253.02 | |
Medica
| Facility | $111.98 | $135.11 | $285.25 | |
Medica
| Professional | $138.37 | $229.86 | $794.81 | |
United
| Professional | $114.88 | $173.16 | $333.91 |