| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.69 | $107.69 | $107.69 | |
Aetna
| Professional | $101.70 | $101.70 | $107.69 | |
BCBS
| Professional | $138.40 | $163.63 | $167.70 | |
Cigna
| Professional | $169.50 | $171.20 | $215.27 | |
Medica
| Facility | $68.28 | $107.69 | $681.55 | |
Medica
| Professional | $58.97 | $72.42 | $117.93 | |
United
| Professional | $43.49 | $72.42 | $155.18 |