| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.09 | $87.09 | $116.68 | |
Aetna
| Professional | $70.04 | $116.68 | $288.36 | |
BCBS
| Professional | $170.36 | $210.19 | $290.05 | |
Cigna
| Professional | $107.50 | $207.15 | $294.25 | |
Medica
| Facility | $74.03 | $116.68 | $197.41 | |
Medica
| Professional | $118.80 | $226.23 | $717.08 | |
United
| Professional | $109.06 | $196.13 | $290.52 |