| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.54 | $134.54 | $134.54 | |
Aetna
| Professional | $108.04 | $108.04 | $134.54 | |
BCBS
| Professional | $172.91 | $204.44 | $209.52 | |
Cigna
| Professional | $180.38 | $182.18 | $229.08 | |
Medica
| Facility | $77.33 | $134.54 | $735.04 | |
Medica
| Professional | $62.83 | $80.31 | $147.35 | |
United
| Professional | $46.13 | $76.81 | $147.35 |