| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $79.43 | $204.17 | |
Aetna
| Professional | $60.26 | $77.62 | $102.33 | |
BCBS
| Professional | $169.82 | $229.09 | $257.04 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
Medica
| Facility | $60.26 | $114.82 | $549.54 | |
Medica
| Professional | $36.31 | $57.54 | $144.54 | |
United
| Professional | $39.81 | $87.10 | $144.54 |