| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $274.13 | $274.13 | |
Aetna
| Professional | $141.10 | $177.56 | $195.31 | |
BCBS
| Professional | $142.32 | $168.02 | $170.43 | |
Cigna
| Professional | $180.90 | $180.90 | $226.13 | |
Medica
| Facility | $170.95 | $186.90 | $532.67 | |
Medica
| Professional | $155.75 | $171.33 | $186.90 | |
United
| Professional | $155.75 | $171.33 | $186.90 |