| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.77 | $161.75 | $191.59 | |
Aetna
| Professional | $130.34 | $162.84 | $191.59 | |
BCBS
| Professional | $159.25 | $165.13 | $218.67 | |
Cigna
| Professional | $129.94 | $182.64 | $395.80 | |
Medica
| Facility | $172.43 | $214.78 | $394.58 | |
Medica
| Professional | $135.28 | $160.00 | $212.48 | |
United
| Professional | $135.28 | $160.19 | $212.48 |