| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.53 | $122.53 | $122.53 | |
Aetna
| Professional | $60.54 | $99.82 | $122.53 | |
BCBS
| Professional | $102.20 | $127.81 | $157.00 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Medica
| Facility | $99.22 | $125.65 | $196.02 | |
Medica
| Professional | $88.61 | $115.20 | $661.18 | |
United
| Professional | $88.88 | $109.80 | $178.83 |