| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.08 | $309.95 | $478.95 | |
Aetna
| Professional | $112.50 | $130.50 | $160.50 | |
BCBS
| Professional | $187.50 | $187.50 | $187.50 | |
Cigna
| Facility | $132.60 | $245.70 | $340.40 | |
Medica
| Facility | $123.00 | $150.00 | $201.80 | |
Medica
| Professional | $63.00 | $90.00 | $750.00 | |
United
| Professional | $63.00 | $90.00 | $225.00 |