| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.19 | $91.19 | $91.19 | |
Aetna
| Professional | $65.36 | $96.48 | $138.63 | |
BCBS
| Professional | $98.79 | $121.59 | $287.26 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
Medica
| Facility | $91.19 | $151.99 | $271.79 | |
Medica
| Professional | $61.33 | $68.95 | $835.71 | |
United
| Professional | $61.33 | $64.45 | $109.71 |