| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.09 | $100.09 | $100.09 | |
Aetna
| Professional | $47.72 | $103.61 | $113.85 | |
BCBS
| Professional | $146.51 | $173.65 | $184.98 | |
Cigna
| Professional | $152.83 | $226.68 | $340.60 | |
Medica
| Facility | $64.23 | $100.09 | $176.78 | |
Medica
| Professional | $57.89 | $105.26 | $626.73 | |
United
| Professional | $62.24 | $114.91 | $208.48 |