| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.41 | $154.41 | $154.41 | |
Aetna
| Professional | $112.64 | $145.85 | $154.41 | |
BCBS
| Professional | $198.43 | $234.62 | $240.45 | |
Cigna
| Professional | $243.38 | $245.81 | $309.08 | |
Medica
| Facility | $97.95 | $154.41 | $977.65 | |
Medica
| Professional | $84.56 | $155.82 | $215.24 | |
United
| Professional | $53.02 | $93.57 | $184.02 |