| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.00 | $105.00 | $270.00 | |
Aetna
| Professional | $105.00 | $141.00 | $141.00 | |
BCBS
| Professional | $225.79 | $302.25 | $337.50 | |
Cigna
| Professional | $156.75 | $156.75 | $195.94 | |
Medica
| Facility | $90.00 | $114.00 | $270.00 | |
Medica
| Professional | $76.50 | $180.00 | $300.00 | |
United
| Professional | $63.00 | $178.13 | $255.00 |