| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.23 | $115.86 | $136.30 | |
Aetna
| Professional | $102.23 | $127.78 | $431.51 | |
BCBS
| Professional | $249.63 | $273.39 | $321.95 | |
Cigna
| Professional | $177.00 | $245.72 | $371.18 | |
Medica
| Facility | $115.86 | $163.19 | $231.71 | |
Medica
| Professional | $140.38 | $254.40 | $356.00 | |
United
| Professional | $119.33 | $230.32 | $339.39 |