| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $158.49 | |
Aetna
| Professional | $131.83 | $138.04 | $204.17 | |
BCBS
| Professional | $177.83 | $208.93 | $218.78 | |
Cigna
| Professional | $218.78 | $223.87 | $281.84 | |
Medica
| Facility | $131.83 | $218.78 | $891.25 | |
Medica
| Professional | $91.20 | $125.89 | $251.19 | |
United
| Facility | $10.96 | $81.28 | $107.15 | |
United
| Professional | $66.07 | $158.49 | $251.19 |