| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.02 | $108.02 | $108.02 | |
Aetna
| Professional | $107.88 | $107.88 | $108.02 | |
BCBS
| Professional | $138.82 | $164.14 | $168.22 | |
Cigna
| Professional | $180.00 | $181.80 | $228.60 | |
Medica
| Facility | $80.94 | $108.02 | $757.74 | |
Medica
| Professional | $59.15 | $80.41 | $120.71 | |
United
| Professional | $48.28 | $80.41 | $172.31 |