| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.45 | $183.47 | $183.53 | |
Aetna
| Professional | $143.54 | $157.66 | $183.47 | |
BCBS
| Professional | $262.35 | $262.35 | $262.35 | |
Cigna
| Professional | $115.26 | $225.47 | $308.79 | |
Medica
| Facility | $149.28 | $204.94 | $335.78 | |
Medica
| Professional | $141.08 | $194.60 | $1,031.22 | |
United
| Professional | $140.10 | $166.45 | $263.55 |