| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.73 | $83.73 | $83.73 | |
Aetna
| Professional | $83.73 | $123.34 | $123.34 | |
BCBS
| Professional | $189.20 | $201.93 | $232.74 | |
Cigna
| Professional | $24.38 | $30.47 | $73.14 | |
Medica
| Facility | $60.14 | $129.91 | $199.52 | |
Medica
| Professional | $60.68 | $179.78 | $535.96 | |
United
| Professional | $74.58 | $159.03 | $199.76 |