| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.55 | $151.55 | $151.55 | |
Aetna
| Professional | $114.86 | $151.55 | $241.23 | |
BCBS
| Professional | $251.33 | $302.45 | $336.54 | |
Cigna
| Professional | $170.23 | $274.52 | $345.20 | |
Medica
| Facility | $151.55 | $200.13 | $257.64 | |
Medica
| Professional | $152.30 | $269.83 | $935.19 | |
United
| Professional | $152.30 | $267.62 | $362.71 |