| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $85.11 | $165.96 | |
Aetna
| Professional | $61.66 | $79.43 | $100.00 | |
BCBS
| Professional | $134.90 | $181.97 | $208.93 | |
Cigna
| Professional | $104.71 | $104.71 | $131.83 | |
Medica
| Facility | $54.95 | $70.79 | $165.96 | |
Medica
| Professional | $38.90 | $117.49 | $181.97 | |
United
| Professional | $38.90 | $100.00 | $154.88 |