| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.35 | $147.35 | $147.35 | |
Aetna
| Professional | $122.98 | $122.98 | $147.35 | |
BCBS
| Professional | $216.88 | $253.80 | $258.19 | |
Cigna
| Professional | $221.25 | $223.46 | $280.99 | |
Medica
| Facility | $122.98 | $147.35 | $955.82 | |
Medica
| Professional | $54.01 | $119.05 | $194.19 | |
United
| Professional | $54.01 | $108.02 | $194.19 |