| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.22 | $122.22 | $122.22 | |
Aetna
| Professional | $101.51 | $101.51 | $122.22 | |
BCBS
| Professional | $158.76 | $185.78 | $188.99 | |
Cigna
| Professional | $193.50 | $195.44 | $245.75 | |
Medica
| Facility | $101.51 | $145.22 | $782.12 | |
Medica
| Professional | $69.84 | $109.06 | $163.59 | |
United
| Professional | $53.48 | $109.06 | $163.59 |