| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.21 | $117.21 | $117.21 | |
Aetna
| Professional | $85.50 | $110.73 | $117.21 | |
BCBS
| Professional | $150.63 | $178.11 | $182.54 | |
Cigna
| Professional | $184.88 | $186.72 | $234.79 | |
Medica
| Facility | $74.34 | $117.21 | $742.11 | |
Medica
| Professional | $64.19 | $78.84 | $128.37 | |
United
| Professional | $47.35 | $78.84 | $159.37 |