| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $162.18 | $194.98 | |
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Medica
| Facility | $151.36 | $173.78 | $269.15 | |
Medica
| Professional | $63.10 | $109.65 | $229.09 | |
United
| Facility | $102.33 | $102.33 | $102.33 | |
United
| Professional | $63.10 | $95.50 | $138.04 |