| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.75 | $105.20 | $129.19 | |
BCBS
| Professional | $135.21 | $159.07 | $159.07 | |
Cigna
| Professional | $94.04 | $116.25 | $145.31 | |
Medica
| Facility | $39.86 | $105.20 | $538.49 | |
Medica
| Professional | $95.99 | $130.79 | $158.72 | |
United
| Professional | $104.71 | $130.79 | $156.75 |