| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.44 | $143.44 | $213.41 | |
Aetna
| Professional | $134.19 | $137.05 | $143.44 | |
BCBS
| Professional | $208.49 | $225.11 | $264.83 | |
Cigna
| Professional | $157.62 | $251.21 | $345.76 | |
Medica
| Facility | $95.30 | $177.84 | $311.38 | |
Medica
| Professional | $143.63 | $277.89 | $847.87 | |
United
| Professional | $136.46 | $263.27 | $362.22 |