| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.42 | $82.42 | $82.42 | |
Aetna
| Professional | $63.95 | $75.04 | $113.01 | |
BCBS
| Professional | $127.16 | $161.47 | $192.25 | |
Cigna
| Professional | $128.12 | $195.48 | $250.74 | |
Medica
| Facility | $66.61 | $82.42 | $120.90 | |
Medica
| Professional | $90.38 | $164.32 | $530.02 | |
United
| Professional | $84.09 | $154.28 | $214.64 |