| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.62 | $108.62 | $108.62 | |
Aetna
| Professional | $79.75 | $110.91 | $163.97 | |
BCBS
| Professional | $200.37 | $243.67 | $267.16 | |
Cigna
| Professional | $123.97 | $229.67 | $339.66 | |
Medica
| Facility | $108.62 | $149.09 | $208.59 | |
Medica
| Professional | $118.24 | $199.26 | $662.29 | |
United
| Professional | $115.13 | $194.84 | $254.91 |