| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.91 | $120.91 | $120.91 | |
Aetna
| Professional | $120.91 | $162.37 | $162.37 | |
BCBS
| Professional | $260.01 | $348.05 | $388.64 | |
Cigna
| Professional | $198.65 | $198.65 | $291.63 | |
Medica
| Facility | $103.64 | $132.41 | $310.91 | |
Medica
| Professional | $103.64 | $243.25 | $345.46 | |
United
| Professional | $72.55 | $203.72 | $265.66 |