| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.12 | $121.12 | $311.45 | |
Aetna
| Professional | $121.12 | $121.12 | $162.65 | |
BCBS
| Professional | $287.64 | $348.66 | $391.27 | |
Cigna
| Professional | $199.07 | $201.06 | $252.81 | |
Medica
| Facility | $121.12 | $205.90 | $821.89 | |
Medica
| Professional | $72.67 | $173.03 | $294.14 | |
United
| Professional | $72.67 | $176.49 | $242.24 |