| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.66 | $377.79 | $377.79 | |
Aetna
| Professional | $89.66 | $93.03 | $112.08 | |
BCBS
| Professional | $89.25 | $105.37 | $106.88 | |
Cigna
| Professional | $95.27 | $123.75 | $154.69 | |
Medica
| Facility | $89.66 | $116.56 | $236.17 | |
Medica
| Professional | $100.00 | $100.00 | $425.90 | |
United
| Professional | $100.00 | $100.00 | $110.00 |