| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $162.18 | $309.03 | |
Aetna
| Professional | $120.23 | $154.88 | $208.93 | |
BCBS
| Professional | $257.04 | $346.74 | $389.05 | |
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
Medica
| Facility | $120.23 | $204.17 | $812.83 | |
Medica
| Professional | $72.44 | $89.13 | $295.12 | |
United
| Professional | $72.44 | $173.78 | $251.19 |