| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.55 | $108.55 | $108.55 | |
Aetna
| Professional | $82.50 | $102.53 | $108.55 | |
BCBS
| Professional | $139.51 | $164.95 | $169.05 | |
Cigna
| Professional | $171.00 | $172.71 | $217.17 | |
Medica
| Facility | $77.25 | $118.05 | $688.05 | |
Medica
| Professional | $59.44 | $76.91 | $156.83 | |
United
| Facility | $65.33 | $65.33 | $65.33 | |
United
| Professional | $43.95 | $76.91 | $166.01 |