| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.44 | $109.30 | $128.59 | |
Aetna
| Professional | $101.10 | $115.60 | $141.09 | |
BCBS
| Professional | $243.84 | $286.87 | $329.44 | |
Cigna
| Professional | $257.62 | $313.08 | $391.36 | |
Medica
| Facility | $114.90 | $128.59 | $573.72 | |
Medica
| Professional | $134.34 | $204.27 | $334.96 | |
United
| Professional | $140.44 | $231.89 | $334.96 |