| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.76 | $115.76 | $115.76 | |
Aetna
| Professional | $92.90 | $109.38 | $115.76 | |
BCBS
| Professional | $148.77 | $175.90 | $180.27 | |
Cigna
| Professional | $182.63 | $184.45 | $231.93 | |
Medica
| Facility | $73.47 | $115.76 | $734.34 | |
Medica
| Professional | $63.39 | $79.38 | $153.74 | |
United
| Professional | $54.94 | $81.84 | $157.43 |