| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $158.49 | $309.03 | |
Aetna
| Professional | $112.20 | $131.83 | $204.17 | |
BCBS
| Professional | $223.87 | $323.59 | $380.19 | |
Cigna
| Professional | $194.98 | $194.98 | $245.47 | |
Medica
| Facility | $102.33 | $128.82 | $309.03 | |
Medica
| Professional | $66.07 | $154.88 | $338.84 | |
United
| Professional | $66.07 | $162.18 | $288.40 |