| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $107.15 | $107.15 | |
Aetna
| Professional | $61.66 | $77.62 | $107.15 | |
BCBS
| Professional | $123.03 | $162.18 | $177.83 | |
Cigna
| Professional | $169.82 | $169.82 | $213.80 | |
Medica
| Facility | $67.61 | $125.89 | $676.08 | |
Medica
| Professional | $58.88 | $72.44 | $147.91 | |
United
| Facility | $64.57 | $213.80 | $213.80 | |
United
| Professional | $51.29 | $74.13 | $158.49 |