| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.50 | $158.50 | $160.30 | |
Aetna
| Professional | $118.19 | $162.08 | $251.81 | |
BCBS
| Professional | $305.60 | $373.63 | $407.12 | |
Cigna
| Professional | $179.15 | $345.63 | $511.15 | |
Medica
| Facility | $158.50 | $228.72 | $319.98 | |
Medica
| Professional | $175.87 | $319.76 | $978.66 | |
United
| Professional | $131.37 | $287.77 | $378.57 |