| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.99 | $129.99 | $129.99 | |
Aetna
| Professional | $100.74 | $129.99 | $154.72 | |
BCBS
| Professional | $204.93 | $237.37 | $279.26 | |
Cigna
| Professional | $133.13 | $134.46 | $169.07 | |
Medica
| Facility | $114.90 | $129.99 | $172.35 | |
Medica
| Professional | $133.88 | $240.73 | $768.84 | |
United
| Professional | $141.02 | $244.95 | $337.41 |