| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.47 | $137.47 | $137.47 | |
Aetna
| Professional | $137.47 | $163.76 | $183.21 | |
BCBS
| Professional | $230.66 | $230.66 | $271.37 | |
Cigna
| Professional | $141.06 | $141.06 | $229.98 | |
Medica
| Facility | $132.56 | $160.97 | $212.89 | |
Medica
| Professional | $185.20 | $220.57 | $1,105.55 | |
United
| Professional | $178.29 | $210.98 | $285.27 |