| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $87.10 | $107.15 | |
Aetna
| Professional | $81.28 | $114.82 | $257.04 | |
BCBS
| Professional | $204.17 | $251.19 | $302.00 | |
Cigna
| Professional | $134.90 | $218.78 | $346.74 | |
Medica
| Facility | $89.13 | $120.23 | $199.53 | |
Medica
| Professional | $107.15 | $229.09 | $398.11 | |
United
| Professional | $95.50 | $177.83 | $257.04 |