| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.05 | $160.05 | $160.05 | |
Aetna
| Professional | $160.05 | $191.72 | $214.48 | |
BCBS
| Professional | $241.82 | $241.82 | $284.49 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Medica
| Facility | $163.25 | $193.63 | $495.51 | |
Medica
| Professional | $200.11 | $266.10 | $1,182.54 | |
United
| Professional | $197.77 | $244.54 | $378.68 |