| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.85 | $107.23 | $127.27 | |
BCBS
| Professional | $163.18 | $191.98 | $191.98 | |
Cigna
| Professional | $131.37 | $210.13 | $262.67 | |
Medica
| Facility | $81.33 | $120.09 | $573.72 | |
Medica
| Professional | $111.36 | $131.77 | $170.86 | |
United
| Professional | $112.40 | $135.52 | $160.27 |