| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.33 | $153.37 | $182.01 | |
Aetna
| Professional | $118.25 | $153.37 | $202.27 | |
Aetna
| Professional | 25 | $240.88 | $240.88 | $240.88 |
BCBS
| Professional | $193.89 | $228.11 | $228.11 | |
Cigna
| Professional | $144.19 | $237.00 | $395.80 | |
Medica
| Facility | $165.55 | $208.85 | $423.00 | |
Medica
| Professional | $128.53 | $164.13 | $245.22 | |
United
| Professional | $128.40 | $164.88 | $245.44 |