| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $74.13 | $588.84 | |
Aetna
| Professional | $21.88 | $61.66 | $173.78 | |
BCBS
| Professional | $109.65 | $128.82 | $151.36 | |
Cigna
| Professional | $38.90 | $72.44 | $165.96 | |
Medica
| Facility | $21.88 | $53.70 | $107.15 | |
Medica
| Professional | $66.07 | $125.89 | $223.87 | |
United
| Professional | $26.30 | $58.88 | $147.91 |