| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.11 | $90.11 | $231.71 | |
Aetna
| Professional | $90.11 | $121.01 | $121.01 | |
BCBS
| Professional | $193.78 | $259.39 | $289.64 | |
Cigna
| Professional | $147.85 | $147.85 | $217.06 | |
Medica
| Facility | $77.23 | $100.41 | $231.71 | |
Medica
| Professional | $77.23 | $186.66 | $257.45 | |
United
| Professional | $54.07 | $164.77 | $220.73 |