| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.89 | $93.89 | $241.43 | |
Aetna
| Professional | $93.89 | $93.89 | $126.08 | |
BCBS
| Professional | $201.90 | $270.27 | $301.79 | |
Cigna
| Professional | $154.46 | $154.46 | $226.76 | |
Medica
| Facility | $80.48 | $101.94 | $241.43 | |
Medica
| Professional | $68.41 | $160.96 | $268.26 | |
United
| Professional | $56.33 | $136.81 | $268.26 |