| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.30 | $164.30 | $164.30 | |
Aetna
| Professional | $136.25 | $136.25 | $164.30 | |
BCBS
| Professional | $170.66 | $199.71 | $203.16 | |
Cigna
| Professional | $207.75 | $209.83 | $263.83 | |
Medica
| Facility | $136.25 | $253.75 | $908.34 | |
Medica
| Professional | $93.89 | $179.38 | $299.70 | |
United
| Professional | $68.06 | $179.38 | $299.70 |