| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.23 | $102.26 | $120.31 | |
Aetna
| Professional | $88.79 | $110.88 | $250.73 | |
BCBS
| Professional | $178.59 | $214.25 | $274.75 | |
Cigna
| Professional | $119.00 | $151.83 | $189.79 | |
Medica
| Facility | $102.26 | $120.31 | $207.41 | |
Medica
| Professional | $120.70 | $160.10 | $747.63 | |
United
| Professional | $120.30 | $151.85 | $233.62 |