| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.41 | $87.41 | $224.77 | |
Aetna
| Professional | $87.41 | $117.38 | $117.38 | |
BCBS
| Professional | $187.97 | $251.61 | $280.95 | |
Cigna
| Professional | $143.31 | $143.31 | $210.39 | |
Medica
| Facility | $74.92 | $94.90 | $224.77 | |
Medica
| Professional | $64.13 | $149.84 | $249.74 | |
United
| Professional | $52.45 | $127.37 | $212.28 |