| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.45 | $107.45 | $276.30 | |
Aetna
| Professional | $107.45 | $157.34 | $175.00 | |
BCBS
| Professional | $224.01 | $264.86 | $266.83 | |
Cigna
| Professional | $176.76 | $178.53 | $224.49 | |
Medica
| Facility | $107.45 | $196.39 | $729.13 | |
Medica
| Professional | $64.47 | $153.50 | $260.95 | |
United
| Professional | $64.47 | $153.50 | $222.58 |