| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $302.00 | $616.60 | |
Aetna
| Professional | $109.65 | $134.90 | $162.18 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Facility | $147.91 | $302.00 | $371.54 | |
Medica
| Facility | $131.83 | $173.78 | $234.42 | |
Medica
| Professional | $69.18 | $120.23 | $812.83 | |
United
| Facility | $85.11 | $162.18 | $194.98 | |
United
| Professional | $69.18 | $97.72 | $213.80 |