| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.61 | $202.77 | $253.64 | |
BCBS
| Professional | $210.70 | $213.95 | $289.32 | |
Cigna
| Professional | $129.97 | $204.25 | $415.60 | |
Medica
| Facility | $140.80 | $223.52 | $906.80 | |
Medica
| Professional | $169.71 | $192.34 | $247.45 | |
United
| Professional | $169.71 | $192.34 | $247.15 |