| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.11 | $143.11 | $143.11 | |
Aetna
| Professional | $135.19 | $135.19 | $143.11 | |
BCBS
| Professional | $183.91 | $217.45 | $222.86 | |
Cigna
| Professional | $225.75 | $228.01 | $286.70 | |
Medica
| Facility | $90.78 | $143.11 | $906.14 | |
Medica
| Professional | $78.37 | $98.13 | $199.53 | |
United
| Professional | $67.90 | $137.54 | $206.31 |