| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.20 | $132.55 | $156.34 | |
BCBS
| Professional | $122.21 | $143.78 | $143.78 | |
Cigna
| Professional | $115.76 | $115.76 | $115.76 | |
Medica
| Facility | $114.81 | $135.72 | $369.57 | |
Medica
| Professional | $142.94 | $188.62 | $827.90 | |
United
| Professional | $142.25 | $182.32 | $334.26 |