| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.09 | $80.09 | $205.97 | |
Aetna
| Professional | $80.09 | $80.09 | $107.56 | |
BCBS
| Professional | $190.23 | $230.58 | $258.76 | |
Cigna
| Professional | $131.75 | $133.06 | $167.32 | |
Medica
| Facility | $80.09 | $136.16 | $543.54 | |
Medica
| Professional | $48.06 | $114.43 | $194.53 | |
United
| Professional | $48.06 | $58.36 | $165.92 |