| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.68 | $136.68 | $136.68 | |
Aetna
| Professional | $116.82 | $134.66 | $375.38 | |
BCBS
| Professional | $257.75 | $303.24 | $333.58 | |
Cigna
| Professional | $145.83 | $269.75 | $376.11 | |
Medica
| Facility | $116.18 | $158.50 | $293.51 | |
Medica
| Professional | $140.03 | $250.74 | $1,352.50 | |
United
| Professional | $140.03 | $223.81 | $340.33 |