| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.82 | $109.82 | $109.82 | |
Aetna
| Professional | $90.65 | $90.65 | $131.54 | |
BCBS
| Professional | $141.13 | $166.86 | $171.01 | |
Cigna
| Professional | $219.38 | $221.57 | $278.61 | |
Medica
| Facility | $70.05 | $131.54 | $791.34 | |
Medica
| Professional | $60.13 | $78.70 | $125.51 | |
United
| Professional | $58.96 | $83.60 | $189.31 |