| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.89 | $88.89 | $104.41 | |
Aetna
| Professional | $71.50 | $88.89 | $106.41 | |
BCBS
| Professional | $174.50 | $212.59 | $260.38 | |
Cigna
| Professional | $110.34 | $190.41 | $262.14 | |
Medica
| Facility | $77.89 | $118.44 | $193.16 | |
Medica
| Professional | $110.82 | $195.76 | $721.97 | |
United
| Professional | $97.43 | $177.23 | $259.98 |