| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.79 | $91.93 | $167.12 | |
BCBS
| Professional | $66.26 | $88.34 | $146.87 | |
Cigna
| Professional | $94.04 | $94.04 | $145.31 | |
Medica
| Facility | $39.86 | $39.86 | $538.49 | |
Medica
| Professional | $91.74 | $104.72 | $160.16 | |
United
| Professional | $91.74 | $104.72 | $148.47 |