| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.95 | $118.09 | $139.94 | |
BCBS
| Professional | $160.93 | $160.93 | $160.93 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
Medica
| Facility | $109.15 | $123.15 | $200.00 | |
Medica
| Professional | $48.89 | $73.34 | $801.07 | |
United
| Professional | $41.63 | $71.06 | $84.19 |