| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.10 | $122.10 | $122.10 | |
Aetna
| Professional | $84.85 | $84.85 | $122.10 | |
BCBS
| Professional | $156.90 | $185.51 | $190.13 | |
Cigna
| Professional | $182.25 | $184.07 | $231.46 | |
Medica
| Facility | $68.31 | $122.10 | $744.59 | |
Medica
| Professional | $64.01 | $117.48 | $161.04 | |
United
| Professional | $55.19 | $111.80 | $167.70 |