| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.21 | $132.21 | $132.21 | |
Aetna
| Professional | $110.31 | $110.31 | $132.21 | |
BCBS
| Professional | $198.84 | $232.68 | $236.70 | |
Cigna
| Professional | $202.50 | $204.53 | $257.18 | |
Medica
| Facility | $110.31 | $136.43 | $821.30 | |
Medica
| Professional | $46.12 | $117.25 | $175.88 | |
United
| Professional | $46.12 | $92.23 | $175.88 |