| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.61 | $89.61 | $119.57 | |
Aetna
| Professional | $71.22 | $119.57 | $299.70 | |
BCBS
| Professional | $176.57 | $217.85 | $298.54 | |
Cigna
| Professional | $108.71 | $214.00 | $337.13 | |
Medica
| Facility | $76.17 | $119.57 | $202.46 | |
Medica
| Professional | $121.98 | $234.10 | $541.15 | |
United
| Professional | $111.98 | $203.30 | $297.73 |