| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.53 | $153.53 | $153.53 | |
Aetna
| Professional | $145.04 | $145.04 | $153.53 | |
BCBS
| Professional | $197.31 | $233.29 | $239.09 | |
Cigna
| Professional | $241.88 | $244.29 | $307.18 | |
Medica
| Facility | $97.39 | $153.53 | $981.02 | |
Medica
| Professional | $84.07 | $103.92 | $168.13 | |
United
| Professional | $73.29 | $109.21 | $168.13 |