| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.42 | $164.42 | $164.42 | |
Aetna
| Professional | $164.41 | $164.42 | $198.95 | |
BCBS
| Professional | $179.18 | $211.54 | $213.44 | |
Cigna
| Professional | $167.51 | $169.19 | $212.74 | |
Medica
| Facility | $152.12 | $164.42 | $279.51 | |
Medica
| Professional | $178.57 | $180.86 | $224.00 | |
United
| Professional | $164.42 | $180.86 | $208.76 |