| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.37 | $152.37 | $152.37 | |
Aetna
| Professional | $122.48 | $122.48 | $152.37 | |
BCBS
| Professional | $195.81 | $231.52 | $237.28 | |
Cigna
| Professional | $204.38 | $206.42 | $259.56 | |
Medica
| Facility | $98.27 | $152.37 | $923.64 | |
Medica
| Professional | $73.28 | $102.07 | $166.87 | |
United
| Professional | $68.86 | $139.47 | $198.30 |