| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.41 | $78.41 | $201.64 | |
Aetna
| Professional | $78.41 | $78.41 | $105.30 | |
BCBS
| Professional | $186.23 | $225.72 | $253.31 | |
Cigna
| Professional | $128.44 | $129.72 | $163.12 | |
Medica
| Facility | $78.41 | $133.30 | $532.10 | |
Medica
| Professional | $47.05 | $112.02 | $190.43 | |
United
| Professional | $47.05 | $114.26 | $162.43 |