| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.61 | $277.17 | $428.28 | |
Aetna
| Professional | $107.30 | $116.69 | $134.13 | |
BCBS
| Professional | $167.66 | $167.66 | $167.66 | |
Cigna
| Facility | $118.56 | $219.69 | $304.27 | |
Medica
| Facility | $107.30 | $134.13 | $180.45 | |
Medica
| Professional | $56.33 | $80.48 | $667.97 | |
United
| Professional | $56.33 | $80.48 | $221.31 |