| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.22 | $82.22 | $116.14 | |
Aetna
| Professional | $64.75 | $100.59 | $259.88 | |
BCBS
| Professional | $160.69 | $207.97 | $291.75 | |
Cigna
| Professional | $106.21 | $195.17 | $295.99 | |
Medica
| Facility | $70.02 | $116.14 | $197.48 | |
Medica
| Professional | $115.18 | $218.84 | $715.23 | |
United
| Professional | $106.64 | $207.32 | $289.19 |