| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.50 | $174.51 | $180.60 | |
BCBS
| Professional | $202.92 | $202.92 | $202.92 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Medica
| Facility | $156.22 | $174.51 | $266.43 | |
Medica
| Professional | $72.48 | $110.46 | $234.59 | |
United
| Professional | $72.48 | $104.48 | $155.97 |