| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.93 | $118.93 | $305.82 | |
Aetna
| Professional | $118.93 | $159.71 | $159.71 | |
BCBS
| Professional | $255.74 | $342.35 | $382.28 | |
Cigna
| Professional | $195.35 | $195.35 | $286.77 | |
Medica
| Facility | $101.94 | $129.12 | $305.82 | |
Medica
| Professional | $66.17 | $162.18 | $339.80 | |
United
| Professional | $66.17 | $154.07 | $288.83 |