| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.53 | $171.97 | $177.96 | |
BCBS
| Professional | $199.96 | $199.96 | $199.96 | |
Cigna
| Professional | $91.84 | $91.84 | $91.84 | |
Medica
| Facility | $153.04 | $171.97 | $262.58 | |
Medica
| Professional | $63.64 | $108.86 | $231.18 | |
United
| Professional | $63.64 | $95.46 | $136.94 |