| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.83 | $149.83 | $149.83 | |
Aetna
| Professional | $149.83 | $149.83 | $149.83 | |
BCBS
| Professional | $134.34 | $158.60 | $160.88 | |
Cigna
| Professional | $138.75 | $140.13 | $173.44 | |
Medica
| Facility | $93.65 | $149.83 | $449.49 | |
Medica
| Professional | $159.66 | $161.72 | $176.27 | |
United
| Professional | $147.02 | $161.72 | $166.13 |