| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $309.03 | $537.03 | |
Aetna
| Professional | $141.25 | $141.25 | $426.58 | |
BCBS
| Professional | $186.21 | $275.42 | $323.59 | |
Cigna
| Professional | $162.18 | $162.18 | $204.17 | |
Medica
| Facility | $141.25 | $199.53 | $269.15 | |
Medica
| Professional | $95.50 | $169.82 | $316.23 | |
United
| Professional | $95.50 | $158.49 | $269.15 |