| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.55 | $85.55 | $220.00 | |
Aetna
| Professional | $85.55 | $114.89 | $114.89 | |
BCBS
| Professional | $183.97 | $246.27 | $275.00 | |
Cigna
| Professional | $140.41 | $140.41 | $206.14 | |
Medica
| Facility | $73.33 | $95.33 | $220.00 | |
Medica
| Professional | $73.33 | $177.22 | $244.44 | |
United
| Professional | $51.33 | $150.88 | $188.61 |