| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $162.18 | $316.23 | |
Aetna
| Professional | $117.49 | $134.90 | $208.93 | |
BCBS
| Professional | $257.04 | $354.81 | $398.11 | |
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
Medica
| Facility | $104.71 | $131.83 | $316.23 | |
Medica
| Professional | $74.13 | $208.93 | $354.81 | |
United
| Professional | $74.13 | $177.83 | $295.12 |