| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.03 | $137.86 | $152.83 | |
BCBS
| Professional | $160.30 | $160.30 | $160.30 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
Medica
| Facility | $123.42 | $137.86 | $210.49 | |
Medica
| Professional | $60.88 | $91.33 | $185.33 | |
United
| Professional | $60.88 | $82.54 | $131.02 |