| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.36 | $128.36 | $245.27 | |
Aetna
| Professional | $100.93 | $112.71 | $245.27 | |
BCBS
| Professional | $149.15 | $149.15 | $149.15 | |
Cigna
| Professional | $121.74 | $166.87 | $347.67 | |
Medica
| Facility | $104.56 | $150.97 | $320.06 | |
Medica
| Professional | $120.44 | $152.38 | $686.29 | |
United
| Professional | $116.93 | $144.31 | $245.18 |