| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.44 | $345.59 | $555.98 | |
Aetna
| Professional | $98.31 | $111.72 | $111.72 | |
BCBS
| Professional | $151.94 | $151.94 | $151.94 | |
Cigna
| Facility | $161.60 | $243.99 | $402.40 | |
Medica
| Facility | $122.15 | $158.99 | $215.18 | |
Medica
| Professional | $62.56 | $99.31 | $989.73 | |
United
| Professional | $62.56 | $99.31 | $223.44 |