| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.31 | $77.42 | $91.08 | |
Aetna
| Professional | $73.83 | $85.32 | $110.42 | |
Aetna
| Professional | 25 | $101.95 | $101.95 | $101.95 |
BCBS
| Professional | $207.16 | $225.21 | $264.95 | |
Cigna
| Professional | $159.38 | $206.51 | $266.67 | |
Medica
| Facility | $91.08 | $113.67 | $273.24 | |
Medica
| Professional | $92.75 | $167.09 | $237.37 | |
United
| Professional | $92.75 | $164.17 | $226.79 |