| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.79 | $83.79 | $83.79 | |
Aetna
| Professional | $80.29 | $86.17 | $117.24 | |
BCBS
| Professional | $158.27 | $177.34 | $208.64 | |
Cigna
| Professional | $128.82 | $176.34 | $248.65 | |
Medica
| Facility | $71.22 | $86.75 | $146.63 | |
Medica
| Professional | $96.47 | $155.75 | $196.94 | |
United
| Professional | $87.70 | $155.22 | $196.94 |