| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $107.15 | $204.17 | |
Aetna
| Professional | $79.43 | $102.33 | $138.04 | |
BCBS
| Professional | $151.36 | $229.09 | $257.04 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
Medica
| Facility | $79.43 | $134.90 | $549.54 | |
Medica
| Professional | $47.86 | $58.88 | $194.98 | |
United
| Professional | $47.86 | $114.82 | $165.96 |