| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $125.89 | $239.88 | |
Aetna
| Professional | $89.13 | $100.00 | $125.89 | |
BCBS
| Professional | $177.83 | $257.04 | $302.00 | |
Cigna
| Professional | $154.88 | $154.88 | $194.98 | |
Medica
| Facility | $81.28 | $102.33 | $239.88 | |
Medica
| Professional | $56.23 | $158.49 | $269.15 | |
United
| Professional | $56.23 | $138.04 | $229.09 |