| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.97 | $103.97 | $103.97 | |
Aetna
| Professional | $81.40 | $90.54 | $103.97 | |
BCBS
| Professional | $112.51 | $136.62 | $160.72 | |
Cigna
| Professional | $92.55 | $92.55 | $150.90 | |
Medica
| Facility | $82.68 | $94.96 | $130.91 | |
Medica
| Professional | $108.33 | $131.41 | $661.36 | |
United
| Professional | $104.37 | $125.66 | $175.72 |