| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $162.18 | $199.53 | |
BCBS
| Professional | $154.88 | $194.98 | $218.78 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Medica
| Facility | $87.10 | $173.78 | $281.84 | |
Medica
| Professional | $89.13 | $100.00 | $1,230.27 | |
United
| Professional | $89.13 | $95.50 | $144.54 |