| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.81 | $122.81 | $122.81 | |
Aetna
| Professional | $96.82 | $105.78 | $122.81 | |
BCBS
| Professional | $161.41 | $161.41 | $189.90 | |
Cigna
| Professional | $107.43 | $107.43 | $175.16 | |
Medica
| Facility | $96.81 | $112.07 | $158.36 | |
Medica
| Professional | $129.49 | $158.47 | $768.84 | |
United
| Professional | $126.31 | $139.85 | $201.16 |