| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.86 | $115.86 | $297.92 | |
Aetna
| Professional | $115.86 | $155.58 | $155.58 | |
BCBS
| Professional | $249.14 | $333.50 | $372.40 | |
Cigna
| Professional | $190.39 | $190.39 | $279.51 | |
Medica
| Facility | $79.28 | $119.17 | $297.92 | |
Medica
| Professional | $85.09 | $198.61 | $331.02 | |
United
| Facility | $165.51 | $165.51 | $165.51 | |
United
| Professional | $69.51 | $168.82 | $281.37 |