| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.30 | $52.30 | $91.27 | |
Aetna
| Professional | $52.30 | $82.35 | $123.82 | |
BCBS
| Professional | $152.71 | $221.21 | $308.06 | |
Cigna
| Professional | $160.30 | $288.16 | $401.78 | |
Medica
| Facility | $52.30 | $91.27 | $164.56 | |
Medica
| Professional | $95.89 | $185.38 | $830.18 | |
United
| Professional | $92.39 | $174.05 | $238.90 |