| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $125.89 | |
Aetna
| Professional | $64.57 | $81.28 | $125.89 | |
BCBS
| Professional | $125.89 | $169.82 | $186.21 | |
Cigna
| Professional | $173.78 | $173.78 | $218.78 | |
Medica
| Facility | $66.07 | $125.89 | $707.95 | |
Medica
| Professional | $61.66 | $75.86 | $151.36 | |
United
| Facility | $89.13 | $218.78 | $218.78 | |
United
| Professional | $52.48 | $75.86 | $162.18 |