| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.47 | $117.27 | $137.97 | |
Aetna
| Professional | $96.85 | $123.87 | $177.17 | |
BCBS
| Professional | $193.35 | $233.76 | $301.18 | |
Cigna
| Professional | $144.13 | $267.33 | $406.13 | |
Medica
| Facility | $116.14 | $137.97 | $224.06 | |
Medica
| Professional | $113.12 | $247.36 | $794.81 | |
United
| Professional | $113.12 | $175.49 | $327.33 |