| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.98 | $111.90 | $120.22 | |
BCBS
| Professional | $130.12 | $130.12 | $130.12 | |
Cigna
| Professional | $71.33 | $71.33 | $71.33 | |
Medica
| Facility | $100.18 | $111.90 | $173.53 | |
Medica
| Professional | $49.42 | $74.14 | $150.43 | |
United
| Professional | $49.42 | $67.00 | $106.35 |