| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.80 | $89.80 | $230.92 | |
Aetna
| Professional | $89.80 | $120.59 | $347.99 | |
BCBS
| Professional | $193.11 | $258.50 | $288.64 | |
Cigna
| Professional | $147.44 | $147.44 | $216.45 | |
Medica
| Facility | $76.97 | $101.58 | $230.92 | |
Medica
| Professional | $76.97 | $186.02 | $256.58 | |
United
| Professional | $53.88 | $174.58 | $219.98 |