| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.68 | $152.74 | $203.65 | |
BCBS
| Professional | $170.80 | $173.44 | $234.53 | |
Cigna
| Professional | $119.44 | $187.69 | $380.90 | |
Medica
| Facility | $113.97 | $180.61 | $832.62 | |
Medica
| Professional | $136.96 | $155.41 | $200.42 | |
United
| Professional | $136.96 | $155.41 | $200.42 |