| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.79 | $143.79 | $143.79 | |
Aetna
| Professional | $97.74 | $109.17 | $143.79 | |
BCBS
| Professional | $112.29 | $132.77 | $136.07 | |
Cigna
| Professional | $139.13 | $140.52 | $176.69 | |
Medica
| Facility | $43.17 | $120.10 | $532.72 | |
Medica
| Professional | $78.73 | $99.79 | $159.83 | |
United
| Professional | $49.29 | $86.98 | $157.47 |