| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.65 | $179.78 | $242.23 | |
BCBS
| Facility | $154.41 | $154.41 | $272.14 | |
BCBS
| Professional | $131.97 | $157.58 | $177.27 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Medica
| Facility | $154.65 | $192.10 | $350.66 | |
Medica
| Professional | $168.10 | $210.99 | $1,182.54 | |
United
| Professional | $167.71 | $200.17 | $367.88 |