| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $213.80 | $426.58 | |
Aetna
| Professional | $75.86 | $91.20 | $114.82 | |
BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
Cigna
| Facility | $102.33 | $208.93 | $257.04 | |
Medica
| Facility | $91.20 | $123.03 | $165.96 | |
Medica
| Professional | $47.86 | $69.18 | $281.84 | |
United
| Facility | $47.86 | $114.82 | $138.04 | |
United
| Professional | $47.86 | $69.18 | $147.91 |