| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.98 | $76.98 | $106.59 | |
Aetna
| Professional | $61.24 | $106.59 | $265.22 | |
BCBS
| Professional | $149.66 | $190.48 | $265.45 | |
Cigna
| Professional | $96.56 | $181.47 | $301.27 | |
Medica
| Facility | $65.25 | $106.59 | $180.14 | |
Medica
| Professional | $108.36 | $206.93 | $657.47 | |
United
| Professional | $99.99 | $191.02 | $265.41 |