| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.90 | $95.90 | $246.60 | |
Aetna
| Professional | $95.90 | $128.78 | $128.78 | |
BCBS
| Professional | $206.22 | $276.06 | $308.25 | |
Cigna
| Professional | $157.77 | $157.77 | $231.61 | |
Medica
| Facility | $82.20 | $104.12 | $246.60 | |
Medica
| Professional | $69.87 | $164.40 | $274.00 | |
United
| Professional | $57.54 | $137.00 | $210.71 |