| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $104.71 | $199.53 | |
Aetna
| Professional | $77.62 | $100.00 | $134.90 | |
BCBS
| Professional | $162.18 | $223.87 | $251.19 | |
Cigna
| Professional | $128.82 | $128.82 | $162.18 | |
Medica
| Facility | $77.62 | $131.83 | $537.03 | |
Medica
| Professional | $46.77 | $57.54 | $190.55 | |
United
| Professional | $46.77 | $112.20 | $162.18 |