| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.88 | $151.74 | $178.52 | |
Aetna
| Professional | $145.19 | $165.00 | $195.90 | |
BCBS
| Professional | $353.86 | $416.30 | $478.07 | |
Cigna
| Professional | $373.59 | $454.02 | $567.52 | |
Medica
| Facility | $170.83 | $183.61 | $832.62 | |
Medica
| Professional | $194.46 | $282.85 | $464.46 | |
United
| Professional | $194.46 | $323.22 | $464.46 |