| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $173.78 | $331.13 | |
Aetna
| Professional | $123.03 | $141.25 | $173.78 | |
BCBS
| Professional | $269.15 | $371.54 | $416.87 | |
Cigna
| Professional | $213.80 | $213.80 | $269.15 | |
Medica
| Facility | $112.20 | $141.25 | $331.13 | |
Medica
| Professional | $77.62 | $218.78 | $371.54 | |
United
| Professional | $77.62 | $190.55 | $316.23 |