| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.84 | $99.84 | $256.73 | |
Aetna
| Professional | $99.84 | $134.07 | $134.07 | |
BCBS
| Professional | $214.70 | $287.39 | $320.92 | |
Cigna
| Professional | $163.96 | $163.96 | $240.70 | |
Medica
| Facility | $85.58 | $108.40 | $256.73 | |
Medica
| Professional | $72.73 | $171.16 | $285.26 | |
United
| Professional | $59.90 | $145.47 | $242.47 |