| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.98 | $424.76 | $835.85 | |
Aetna
| Professional | $101.98 | $105.81 | $127.48 | |
BCBS
| Professional | $94.82 | $111.94 | $113.55 | |
Cigna
| Professional | $108.36 | $162.00 | $202.50 | |
Medica
| Facility | $101.98 | $172.35 | $210.16 | |
Medica
| Professional | $106.24 | $106.24 | $437.00 | |
United
| Professional | $106.24 | $106.24 | $118.99 |