| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.77 | $102.77 | $136.69 | |
Aetna
| Professional | $76.33 | $107.28 | $257.93 | |
BCBS
| Professional | $201.40 | $248.48 | $340.09 | |
Cigna
| Professional | $125.15 | $243.96 | $344.60 | |
Medica
| Facility | $85.90 | $136.69 | $230.92 | |
Medica
| Professional | $134.79 | $253.10 | $842.92 | |
United
| Professional | $127.68 | $238.49 | $340.36 |