| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.81 | $78.81 | $85.30 | |
Aetna
| Professional | $36.26 | $76.65 | $145.18 | |
BCBS
| Professional | $149.71 | $177.94 | $208.64 | |
Cigna
| Professional | $102.56 | $170.63 | $234.16 | |
Medica
| Facility | $66.98 | $99.46 | $140.41 | |
Medica
| Professional | $86.76 | $156.47 | $477.95 | |
Medica
| Professional | 25 | $165.50 | $165.50 | $171.00 |
United
| Professional | $78.01 | $152.91 | $212.40 | |
United
| Professional | 25 | $99.10 | $99.10 | $99.10 |