| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.58 | $86.58 | $222.62 | |
Aetna
| Professional | $86.58 | $116.26 | $116.26 | |
BCBS
| Professional | $186.17 | $249.22 | $278.27 | |
Cigna
| Professional | $142.07 | $142.07 | $208.57 | |
Medica
| Facility | $74.20 | $95.95 | $222.62 | |
Medica
| Professional | $74.20 | $179.34 | $247.36 | |
United
| Facility | $123.68 | $123.68 | $123.68 | |
United
| Professional | $51.95 | $168.73 | $212.08 |