| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.77 | $114.77 | $295.13 | |
Aetna
| Professional | $114.77 | $154.12 | $154.12 | |
BCBS
| Professional | $246.80 | $330.38 | $368.91 | |
Cigna
| Professional | $188.33 | $188.33 | $276.47 | |
Medica
| Facility | $98.38 | $127.89 | $295.13 | |
Medica
| Professional | $98.38 | $237.74 | $327.92 | |
United
| Professional | $68.86 | $202.42 | $253.03 |