| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.44 | $133.44 | $133.44 | |
Aetna
| Professional | $111.36 | $111.36 | $133.44 | |
BCBS
| Professional | $166.21 | $194.50 | $197.86 | |
Cigna
| Professional | $202.50 | $204.53 | $257.18 | |
Medica
| Facility | $111.36 | $176.20 | $821.01 | |
Medica
| Professional | $76.65 | $123.44 | $185.16 | |
United
| Professional | $49.34 | $87.75 | $185.16 |