| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.27 | $140.27 | $140.27 | |
Aetna
| Professional | $115.79 | $115.79 | $151.29 | |
BCBS
| Professional | $180.27 | $213.14 | $218.44 | |
Cigna
| Professional | $252.38 | $254.90 | $320.52 | |
Medica
| Facility | $107.49 | $151.29 | $969.09 | |
Medica
| Professional | $76.81 | $111.64 | $223.26 | |
United
| Professional | $64.12 | $96.19 | $160.31 |