| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $117.49 | |
Aetna
| Professional | $69.18 | $85.11 | $117.49 | |
BCBS
| Professional | $123.03 | $165.96 | $177.83 | |
Cigna
| Professional | $199.53 | $199.53 | $245.47 | |
Medica
| Facility | $74.13 | $141.25 | $758.58 | |
Medica
| Professional | $58.88 | $74.13 | $147.91 | |
United
| Facility | $70.79 | $234.42 | $234.42 | |
United
| Professional | $56.23 | $79.43 | $181.97 |