| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.81 | $175.81 | $175.81 | |
Aetna
| Professional | $128.25 | $128.25 | $175.81 | |
BCBS
| Professional | $225.95 | $267.14 | $273.79 | |
Cigna
| Professional | $277.13 | $279.89 | $351.95 | |
Medica
| Facility | $111.52 | $175.81 | $1,113.14 | |
Medica
| Professional | $96.27 | $177.41 | $245.12 | |
United
| Professional | $83.41 | $120.56 | $296.42 |