| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.09 | $114.43 | $205.97 | |
Aetna
| Professional | $80.09 | $80.09 | $107.56 | |
BCBS
| Professional | $172.25 | $230.58 | $257.47 | |
Cigna
| Professional | $131.75 | $131.75 | $193.41 | |
Medica
| Facility | $68.66 | $86.97 | $205.97 | |
Medica
| Professional | $58.36 | $135.88 | $228.86 | |
United
| Professional | $48.06 | $137.32 | $165.92 |