| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.62 | $155.62 | $155.62 | |
Aetna
| Professional | $129.22 | $129.22 | $155.62 | |
BCBS
| Professional | $198.21 | $231.95 | $235.96 | |
Cigna
| Professional | $241.50 | $243.92 | $306.70 | |
Medica
| Facility | $129.22 | $194.65 | $937.40 | |
Medica
| Professional | $88.93 | $125.77 | $193.87 | |
United
| Professional | $64.42 | $112.74 | $193.87 |