| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $169.96 | $169.96 | |
Aetna
| Professional | $169.96 | $169.96 | $169.96 | |
BCBS
| Professional | $152.37 | $179.89 | $182.47 | |
Cigna
| Professional | $148.88 | $150.36 | $186.76 | |
Medica
| Facility | $169.96 | $199.95 | $509.88 | |
Medica
| Professional | $181.10 | $183.43 | $199.95 | |
United
| Professional | $156.75 | $183.43 | $188.43 |