| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $134.90 | $257.04 | |
Aetna
| Professional | $95.50 | $107.15 | $134.90 | |
BCBS
| Professional | $186.21 | $275.42 | $323.59 | |
Cigna
| Professional | $162.18 | $162.18 | $204.17 | |
Medica
| Facility | $85.11 | $109.65 | $257.04 | |
Medica
| Professional | $60.26 | $169.82 | $288.40 | |
United
| Professional | $60.26 | $144.54 | $239.88 |