| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.50 | $70.50 | $100.09 | |
Aetna
| Professional | $53.55 | $100.09 | $264.33 | |
BCBS
| Professional | $136.56 | $176.73 | $249.35 | |
Cigna
| Professional | $86.33 | $166.06 | $283.83 | |
Medica
| Facility | $59.93 | $100.09 | $169.22 | |
Medica
| Professional | $101.88 | $192.61 | $618.82 | |
United
| Professional | $94.01 | $180.88 | $249.22 |