| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.99 | $115.99 | $116.99 | |
Aetna
| Professional | $95.82 | $99.78 | $133.30 | |
BCBS
| Professional | $152.88 | $179.87 | $327.49 | |
Cigna
| Professional | $113.40 | $160.15 | $241.60 | |
Medica
| Facility | $98.33 | $125.71 | $259.24 | |
Medica
| Professional | $121.50 | $151.91 | $1,082.00 | |
United
| Professional | $119.87 | $137.91 | $199.36 |