| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $151.36 | |
Aetna
| Professional | $93.33 | $114.82 | $151.36 | |
BCBS
| Professional | $158.49 | $213.80 | $234.42 | |
Cigna
| Professional | $251.19 | $251.19 | $316.23 | |
Medica
| Facility | $107.15 | $181.97 | $977.24 | |
Medica
| Professional | $77.62 | $95.50 | $194.98 | |
United
| Facility | $95.50 | $316.23 | $316.23 | |
United
| Professional | $75.86 | $107.15 | $234.42 |