| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.33 | $77.33 | $77.33 | |
Aetna
| Professional | $69.65 | $79.27 | $172.66 | |
BCBS
| Professional | $144.66 | $158.60 | $186.59 | |
Cigna
| Professional | $115.19 | $159.62 | $225.07 | |
Medica
| Facility | $65.73 | $79.20 | $135.33 | |
Medica
| Professional | $82.19 | $134.69 | $182.36 | |
United
| Professional | $80.12 | $139.86 | $174.38 |