| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.23 | $110.23 | $110.23 | |
Aetna
| Professional | $110.23 | $129.94 | $129.94 | |
BCBS
| Professional | $141.66 | $167.49 | $171.66 | |
Cigna
| Professional | $216.75 | $218.92 | $275.27 | |
Medica
| Facility | $70.84 | $129.94 | $797.99 | |
Medica
| Professional | $60.36 | $77.75 | $125.98 | |
United
| Professional | $50.39 | $77.75 | $125.98 |