| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.34 | $107.72 | $137.35 | |
BCBS
| Facility | $126.16 | $471.05 | $825.40 | |
BCBS
| Professional | $69.52 | $98.59 | $122.61 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Medica
| Facility | $92.34 | $110.18 | $197.89 | |
Medica
| Professional | $113.77 | $146.80 | $768.84 | |
United
| Professional | $113.77 | $132.12 | $240.87 |