| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $210.00 | $240.00 | |
Aetna
| Professional | $40.00 | $40.00 | $208.00 | |
BCBS
| Professional | $155.19 | $207.28 | $242.56 | |
Cigna
| Professional | $120.00 | $174.00 | $222.00 | |
Medica
| Facility | $40.00 | $40.00 | $42.00 | |
Medica
| Professional | $47.00 | $52.00 | $901.12 | |
United
| Professional | $47.00 | $50.00 | $62.00 |