| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $134.90 | $190.55 | |
Aetna
| Professional | $89.13 | $169.82 | $316.23 | |
BCBS
| Professional | $186.21 | $251.19 | $338.84 | |
Cigna
| Professional | $104.71 | $199.53 | $323.59 | |
Medica
| Facility | $89.13 | $138.04 | $251.19 | |
Medica
| Professional | $117.49 | $251.19 | $851.14 | |
United
| Professional | $93.33 | $173.78 | $281.84 |