| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $181.97 | $223.87 | |
BCBS
| Professional | $144.54 | $177.83 | $204.17 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
Medica
| Facility | $97.72 | $194.98 | $269.15 | |
Medica
| Professional | $100.00 | $128.82 | $1,380.38 | |
United
| Professional | $100.00 | $109.65 | $162.18 |