| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.32 | $113.32 | $545.45 | |
Aetna
| Professional | $113.32 | $113.32 | $152.16 | |
BCBS
| Professional | $269.12 | $326.19 | $366.05 | |
Cigna
| Professional | $185.85 | $187.71 | $236.03 | |
Medica
| Facility | $113.32 | $192.64 | $768.93 | |
Medica
| Professional | $50.40 | $100.64 | $275.20 | |
United
| Professional | $50.40 | $80.94 | $234.73 |