| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.90 | $122.50 | $170.53 | |
BCBS
| Professional | $92.89 | $109.82 | $172.41 | |
Cigna
| Professional | $128.26 | $128.26 | $220.16 | |
Medica
| Facility | $67.40 | $147.08 | $201.23 | |
Medica
| Professional | $115.47 | $155.19 | $935.43 | |
United
| Professional | $117.72 | $156.01 | $282.10 |