| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.08 | $137.30 | $186.16 | |
Aetna
| Professional | $77.94 | $98.09 | $186.16 | |
BCBS
| Professional | $115.13 | $135.44 | $135.44 | |
Cigna
| Professional | $80.97 | $108.58 | $165.16 | |
Medica
| Facility | $81.73 | $113.17 | $186.16 | |
Medica
| Professional | $87.70 | $119.65 | $509.49 | |
United
| Professional | $87.09 | $114.67 | $184.10 |