| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.28 | $95.28 | $95.28 | |
Aetna
| Professional | $91.86 | $98.16 | $122.78 | |
BCBS
| Professional | $94.37 | $124.13 | $180.41 | |
Cigna
| Professional | $110.62 | $149.90 | $190.21 | |
Medica
| Facility | $94.13 | $118.25 | $222.37 | |
Medica
| Professional | $103.68 | $138.24 | $1,082.00 | |
United
| Professional | $101.81 | $127.61 | $169.55 |