| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.09 | $87.09 | $121.01 | |
Aetna
| Professional | $69.48 | $108.91 | $279.89 | |
BCBS
| Professional | $170.36 | $217.26 | $302.77 | |
Cigna
| Professional | $111.86 | $207.15 | $307.27 | |
Medica
| Facility | $74.03 | $121.01 | $205.04 | |
Medica
| Professional | $119.45 | $225.41 | $743.11 | |
United
| Professional | $111.18 | $218.47 | $315.67 |