| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.72 | $119.72 | $153.28 | |
Aetna
| Professional | $96.79 | $153.28 | $359.56 | |
BCBS
| Professional | $233.82 | $287.51 | $380.80 | |
Cigna
| Professional | $143.88 | $282.47 | $385.39 | |
Medica
| Facility | $101.76 | $153.28 | $258.23 | |
Medica
| Professional | $151.69 | $284.83 | $725.74 | |
United
| Professional | $142.88 | $259.81 | $381.67 |