| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.06 | $93.06 | $93.06 | |
Aetna
| Professional | $93.06 | $168.63 | $244.20 | |
BCBS
| Professional | $293.39 | $389.25 | $392.17 | |
Cigna
| Professional | $183.60 | $276.67 | $402.72 | |
Medica
| Facility | $93.06 | $212.11 | $423.47 | |
Medica
| Professional | $120.59 | $242.93 | $999.25 | |
United
| Professional | $120.59 | $205.13 | $595.91 |