| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $151.36 | $288.40 | |
Aetna
| Professional | $112.20 | $144.54 | $190.55 | |
BCBS
| Professional | $208.93 | $309.03 | $363.08 | |
Cigna
| Professional | $181.97 | $181.97 | $234.42 | |
Medica
| Facility | $112.20 | $190.55 | $758.58 | |
Medica
| Professional | $67.61 | $81.28 | $269.15 | |
United
| Professional | $67.61 | $158.49 | $234.42 |