| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.17 | $138.77 | $160.47 | |
BCBS
| Professional | $184.54 | $184.54 | $184.54 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
Medica
| Facility | $125.17 | $141.21 | $201.76 | |
Medica
| Professional | $56.08 | $84.11 | $1,079.04 | |
United
| Professional | $56.08 | $82.36 | $112.15 |