| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.67 | $106.67 | $106.67 | |
Aetna
| Professional | $88.58 | $88.58 | $106.67 | |
BCBS
| Professional | $136.09 | $159.26 | $162.01 | |
Cigna
| Professional | $165.75 | $167.41 | $210.50 | |
Medica
| Facility | $88.58 | $132.90 | $679.35 | |
Medica
| Professional | $60.96 | $97.42 | $146.13 | |
United
| Professional | $47.05 | $97.42 | $146.13 |