| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $104.71 | $147.91 | |
BCBS
| Professional | $218.78 | $263.03 | $295.12 | |
Cigna
| Professional | $123.03 | $218.78 | $338.84 | |
Medica
| Facility | $102.33 | $147.91 | $269.15 | |
Medica
| Professional | $109.65 | $194.98 | $1,071.52 | |
United
| Professional | $97.72 | $169.82 | $275.42 |