| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.18 | $120.86 | $185.25 | |
Aetna
| Facility | 25 | $254.54 | $254.54 | $254.54 |
Aetna
| Professional | $118.30 | $164.99 | $493.95 | |
Aetna
| Professional | 25 | $495.73 | $495.73 | $495.73 |
BCBS
| Professional | $235.58 | $342.90 | $470.79 | |
Cigna
| Professional | $218.73 | $342.62 | $521.53 | |
Medica
| Facility | $108.99 | $162.38 | $273.47 | |
Medica
| Professional | $187.67 | $327.61 | $1,291.38 | |
United
| Professional | $187.67 | $326.66 | $461.27 |