| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.06 | $112.06 | $112.06 | |
Aetna
| Professional | $93.52 | $93.52 | $112.06 | |
BCBS
| Professional | $141.25 | $165.29 | $168.15 | |
Cigna
| Professional | $172.13 | $173.85 | $218.60 | |
Medica
| Facility | $93.52 | $143.86 | $719.88 | |
Medica
| Professional | $64.36 | $104.26 | $156.38 | |
United
| Professional | $50.43 | $104.26 | $156.38 |