| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.19 | $119.19 | $119.19 | |
Aetna
| Professional | $101.40 | $119.19 | $133.30 | |
BCBS
| Professional | $225.53 | $265.33 | $291.39 | |
Cigna
| Professional | $127.53 | $236.47 | $329.72 | |
Medica
| Facility | $101.31 | $138.69 | $251.60 | |
Medica
| Professional | $121.98 | $218.34 | $1,082.00 | |
United
| Professional | $108.45 | $207.23 | $296.77 |