| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $165.96 | $194.98 | |
BCBS
| Professional | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Medica
| Facility | $169.82 | $177.83 | $281.84 | |
Medica
| Professional | $63.10 | $107.15 | $1,230.27 | |
United
| Professional | $63.10 | $100.00 | $151.36 |