| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.97 | $294.73 | $455.42 | |
Aetna
| Professional | $106.97 | $124.09 | $152.61 | |
BCBS
| Professional | $145.47 | $145.47 | $145.47 | |
Cigna
| Facility | $126.09 | $233.63 | $323.49 | |
Medica
| Facility | $114.10 | $142.63 | $191.88 | |
Medica
| Professional | $59.90 | $85.58 | $713.15 | |
United
| Professional | $59.90 | $85.58 | $213.95 |