| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.55 | $128.55 | $166.44 | |
Aetna
| Professional | $98.34 | $136.93 | $260.35 | |
BCBS
| Professional | $251.06 | $309.75 | $413.88 | |
Cigna
| Professional | $155.83 | $303.88 | $419.24 | |
Medica
| Facility | $109.27 | $166.44 | $280.83 | |
Medica
| Professional | $164.44 | $308.77 | $1,021.95 | |
United
| Professional | $153.50 | $301.50 | $414.44 |