| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.39 | $76.39 | $196.43 | |
Aetna
| Professional | $76.39 | $102.58 | $102.58 | |
BCBS
| Professional | $164.27 | $219.90 | $245.54 | |
Cigna
| Professional | $125.14 | $125.14 | $183.71 | |
Medica
| Facility | $65.48 | $82.94 | $196.43 | |
Medica
| Professional | $65.48 | $158.24 | $218.26 | |
United
| Professional | $45.83 | $130.96 | $187.13 |