| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.53 | $214.11 | $265.92 | |
BCBS
| Facility | $70.28 | $70.28 | $77.31 | |
BCBS
| Professional | $196.20 | $196.20 | $234.26 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Medica
| Facility | $120.60 | $224.22 | $321.56 | |
Medica
| Professional | $123.48 | $133.55 | $1,689.04 | |
United
| Professional | $120.70 | $133.55 | $191.59 |