| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.21 | $229.21 | $229.21 | |
Aetna
| Professional | $159.65 | $178.84 | $229.21 | |
BCBS
| Professional | $251.64 | $304.24 | $335.52 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Medica
| Facility | $229.21 | $331.95 | $495.38 | |
Medica
| Professional | $120.49 | $144.59 | $275.20 | |
United
| Professional | $107.50 | $120.49 | $275.20 |