| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.31 | $85.35 | $100.41 | |
Aetna
| Professional | $63.66 | $86.06 | $174.90 | |
BCBS
| Professional | $158.27 | $173.33 | $204.13 | |
Cigna
| Professional | $116.25 | $154.22 | $232.97 | |
Medica
| Facility | $85.35 | $111.02 | $170.70 | |
Medica
| Professional | $97.40 | $187.61 | $397.40 | |
United
| Professional | $88.73 | $183.97 | $250.02 |