| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.58 | $122.85 | $210.34 | |
BCBS
| Professional | $14.52 | $16.38 | $16.38 | |
Cigna
| Facility | $129.12 | $129.12 | $184.40 | |
Cigna
| Professional | $109.75 | $129.12 | $202.50 | |
Medica
| Facility | $77.33 | $137.47 | $911.54 | |
Medica
| Professional | $66.95 | $127.02 | $180.45 | |
United
| Professional | $66.95 | $117.29 | $171.85 |