| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.90 | $74.90 | $192.60 | |
Aetna
| Professional | $74.90 | $74.90 | $74.90 | |
BCBS
| Professional | $161.06 | $215.61 | $240.75 | |
Cigna
| Professional | $123.07 | $123.07 | $180.68 | |
Medica
| Facility | $64.20 | $81.31 | $192.60 | |
Medica
| Professional | $54.57 | $128.40 | $214.00 | |
United
| Professional | $44.94 | $109.14 | $181.90 |