| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $158.49 | $208.93 | |
BCBS
| Professional | $165.96 | $204.17 | $234.42 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Medica
| Facility | $85.11 | $177.83 | $269.15 | |
Medica
| Professional | $87.10 | $95.50 | $1,258.93 | |
United
| Professional | $87.10 | $95.50 | $141.25 |