| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.93 | $175.86 | $210.54 | |
BCBS
| Professional | $242.37 | $242.37 | $242.37 | |
Cigna
| Professional | $91.11 | $91.11 | $91.11 | |
Medica
| Facility | $140.93 | $159.00 | $239.63 | |
Medica
| Professional | $63.13 | $94.70 | $1,252.80 | |
United
| Professional | $63.13 | $94.70 | $126.26 |