| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.36 | $98.36 | $98.36 | |
Aetna
| Professional | $98.36 | $115.84 | $115.84 | |
BCBS
| Professional | $126.41 | $149.46 | $153.18 | |
Cigna
| Professional | $193.13 | $195.06 | $245.27 | |
Medica
| Facility | $75.38 | $115.84 | $701.53 | |
Medica
| Professional | $53.86 | $70.73 | $112.41 | |
United
| Professional | $38.22 | $67.45 | $112.41 |