| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.70 | $66.53 | $78.27 | |
Aetna
| Professional | $61.93 | $71.20 | $85.42 | |
BCBS
| Professional | $150.54 | $177.11 | $203.39 | |
Cigna
| Professional | $160.41 | $194.94 | $243.68 | |
Medica
| Facility | $71.89 | $85.33 | $354.23 | |
Medica
| Professional | $86.64 | $126.02 | $203.77 | |
United
| Professional | $86.64 | $141.18 | $203.77 |