| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.12 | $155.13 | $183.76 | |
BCBS
| Professional | $200.68 | $200.68 | $200.68 | |
Cigna
| Professional | $86.76 | $86.76 | $86.76 | |
Medica
| Facility | $136.12 | $153.57 | $219.41 | |
Medica
| Professional | $60.98 | $91.47 | $1,093.50 | |
United
| Professional | $60.11 | $88.61 | $117.11 |