| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.23 | $105.23 | $270.58 | |
Aetna
| Professional | $105.23 | $141.31 | $141.31 | |
BCBS
| Professional | $226.29 | $302.91 | $338.24 | |
Cigna
| Professional | $173.05 | $173.05 | $254.04 | |
Medica
| Facility | $90.20 | $108.24 | $270.58 | |
Medica
| Professional | $76.67 | $180.40 | $300.66 | |
United
| Professional | $63.14 | $153.34 | $255.56 |