| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.63 | $137.63 | $137.63 | |
Aetna
| Professional | $114.22 | $114.22 | $137.63 | |
BCBS
| Professional | $199.18 | $233.09 | $237.12 | |
Cigna
| Professional | $202.50 | $204.53 | $257.18 | |
Medica
| Facility | $114.22 | $145.78 | $911.54 | |
Medica
| Professional | $67.75 | $131.41 | $195.79 | |
United
| Professional | $53.56 | $130.53 | $195.79 |