| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.38 | $107.67 | $107.67 | |
Aetna
| Professional | $88.24 | $104.38 | $110.90 | |
BCBS
| Professional | $200.73 | $239.10 | $264.62 | |
Cigna
| Professional | $92.85 | $116.28 | $146.21 | |
Medica
| Facility | $104.38 | $129.49 | $207.72 | |
Medica
| Professional | $109.71 | $196.11 | $661.18 | |
United
| Professional | $99.05 | $170.24 | $249.30 |