| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.20 | $89.20 | $229.37 | |
Aetna
| Professional | $89.20 | $119.78 | $119.78 | |
BCBS
| Professional | $191.82 | $256.77 | $286.72 | |
Cigna
| Professional | $146.62 | $146.62 | $215.24 | |
Medica
| Facility | $76.45 | $98.99 | $229.37 | |
Medica
| Professional | $76.45 | $181.41 | $254.86 | |
United
| Professional | $53.52 | $151.93 | $216.63 |