| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.19 | $119.19 | $119.19 | |
Aetna
| Professional | $98.15 | $119.19 | $316.80 | |
BCBS
| Professional | $225.53 | $265.33 | $291.39 | |
Cigna
| Professional | $127.53 | $236.47 | $329.72 | |
Medica
| Facility | $101.31 | $138.69 | $256.55 | |
Medica
| Professional | $127.48 | $218.65 | $1,082.00 | |
United
| Professional | $108.45 | $191.65 | $296.77 |