| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $102.33 | |
Aetna
| Professional | $72.44 | $85.11 | $131.83 | |
BCBS
| Professional | $128.82 | $151.36 | $154.88 | |
Cigna
| Professional | $158.49 | $158.49 | $199.53 | |
Medica
| Facility | $87.10 | $131.83 | $645.65 | |
Medica
| Professional | $58.88 | $69.18 | $141.25 | |
United
| Facility | $8.51 | $63.10 | $85.11 | |
United
| Professional | $51.29 | $95.50 | $162.18 |