| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.16 | $134.16 | $136.32 | |
Aetna
| Professional | $101.92 | $139.94 | $206.41 | |
BCBS
| Professional | $255.42 | $312.52 | $341.24 | |
Cigna
| Professional | $151.83 | $282.95 | $425.95 | |
Medica
| Facility | $134.16 | $187.70 | $278.83 | |
Medica
| Professional | $153.63 | $294.22 | $1,260.00 | |
United
| Professional | $139.66 | $250.08 | $322.87 |