| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.44 | $142.44 | $142.44 | |
Aetna
| Professional | $107.64 | $117.60 | $142.44 | |
BCBS
| Professional | $129.51 | $153.13 | $156.94 | |
Cigna
| Professional | $160.50 | $162.11 | $203.84 | |
Medica
| Facility | $74.13 | $138.52 | $620.42 | |
Medica
| Professional | $78.00 | $97.68 | $162.80 | |
United
| Professional | $55.35 | $97.68 | $162.80 |