| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.99 | $173.64 | $215.66 | |
BCBS
| Facility | $57.21 | $57.21 | $62.93 | |
BCBS
| Professional | $159.71 | $159.71 | $190.70 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Medica
| Facility | $98.18 | $182.33 | $257.06 | |
Medica
| Professional | $100.52 | $108.72 | $1,394.74 | |
United
| Professional | $100.52 | $108.72 | $155.97 |