| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.97 | $124.97 | $124.97 | |
Aetna
| Professional | $116.62 | $128.11 | $187.56 | |
BCBS
| Professional | $238.68 | $280.80 | $307.87 | |
Cigna
| Professional | $121.10 | $245.12 | $390.55 | |
Medica
| Facility | $122.28 | $195.82 | $288.66 | |
Medica
| Professional | $120.53 | $209.39 | $1,165.68 | |
United
| Professional | $114.76 | $186.78 | $269.72 |