| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $125.89 | $213.80 | |
Aetna
| Professional | $83.18 | $154.88 | $302.00 | |
BCBS
| Professional | $177.83 | $239.88 | $316.23 | |
Cigna
| Professional | $100.00 | $186.21 | $302.00 | |
Medica
| Facility | $83.18 | $125.89 | $223.87 | |
Medica
| Professional | $120.23 | $245.47 | $588.84 | |
United
| Professional | $85.11 | $162.18 | $257.04 |