| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.99 | $130.99 | $130.99 | |
Aetna
| Professional | $108.68 | $108.68 | $130.99 | |
BCBS
| Professional | $183.08 | $214.25 | $217.95 | |
Cigna
| Professional | $187.50 | $189.38 | $238.13 | |
Medica
| Facility | $108.68 | $140.44 | $801.83 | |
Medica
| Professional | $62.09 | $130.62 | $195.93 | |
United
| Professional | $49.08 | $122.70 | $195.93 |