| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.97 | $111.97 | $287.91 | |
Aetna
| Professional | $111.97 | $111.97 | $111.97 | |
BCBS
| Professional | $265.91 | $322.30 | $361.69 | |
Cigna
| Professional | $183.79 | $185.62 | $233.41 | |
Medica
| Facility | $111.97 | $190.35 | $759.76 | |
Medica
| Professional | $67.18 | $159.94 | $271.92 | |
United
| Professional | $67.18 | $163.15 | $223.93 |