| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.43 | $131.43 | $131.43 | |
Aetna
| Professional | $81.37 | $81.37 | $131.43 | |
BCBS
| Professional | $168.91 | $199.71 | $204.68 | |
Cigna
| Professional | $157.13 | $158.69 | $199.55 | |
Medica
| Facility | $62.88 | $131.43 | $722.40 | |
Medica
| Professional | $56.33 | $75.04 | $143.93 | |
United
| Professional | $45.06 | $75.04 | $143.93 |