| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $85.11 | $1,047.13 | |
Aetna
| Professional | $79.43 | $87.10 | $208.93 | |
BCBS
| Professional | $151.36 | $177.83 | $208.93 | |
Cigna
| Professional | $117.49 | $165.96 | $218.78 | |
Medica
| Facility | $70.79 | $83.18 | $147.91 | |
Medica
| Professional | $77.62 | $144.54 | $208.93 | |
United
| Professional | $77.62 | $138.04 | $194.98 |