| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $212.94 | $269.14 | |
BCBS
| Professional | $94.50 | $94.50 | $94.50 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Medica
| Facility | $209.94 | $235.23 | $336.62 | |
Medica
| Professional | $82.84 | $138.63 | $1,614.29 | |
United
| Professional | $70.54 | $127.51 | $161.91 |