| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.29 | $124.29 | $319.61 | |
Aetna
| Professional | $124.29 | $124.29 | $166.91 | |
BCBS
| Professional | $295.18 | $357.78 | $401.51 | |
Cigna
| Professional | $204.02 | $206.06 | $259.11 | |
Medica
| Facility | $124.29 | $211.29 | $843.41 | |
Medica
| Professional | $74.58 | $177.56 | $301.85 | |
United
| Professional | $74.58 | $177.56 | $257.45 |