| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.07 | $109.07 | $109.07 | |
Aetna
| Professional | $107.75 | $112.53 | $148.46 | |
BCBS
| Professional | $131.25 | $142.35 | $180.68 | |
Cigna
| Professional | $126.67 | $175.84 | $217.52 | |
Medica
| Facility | $107.75 | $134.77 | $254.22 | |
Medica
| Professional | $119.03 | $157.12 | $1,352.50 | |
United
| Professional | $116.22 | $140.03 | $196.04 |