| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.75 | $373.74 | $373.74 | |
Aetna
| Professional | $140.75 | $140.75 | $170.31 | |
BCBS
| Professional | $132.02 | $155.86 | $158.10 | |
Cigna
| Professional | $143.40 | $144.83 | $179.25 | |
Medica
| Facility | $140.75 | $140.75 | $239.28 | |
Medica
| Professional | $156.91 | $158.93 | $173.08 | |
United
| Professional | $144.47 | $158.93 | $163.26 |