| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.00 | $114.00 | $122.61 | |
Aetna
| Professional | $91.00 | $114.00 | $116.39 | |
BCBS
| Professional | $328.36 | $388.24 | $397.90 | |
Cigna
| Professional | $136.88 | $138.24 | $173.83 | |
Medica
| Facility | $61.64 | $114.00 | $638.99 | |
Medica
| Professional | $64.78 | $90.48 | $135.71 | |
United
| Professional | $48.07 | $91.20 | $131.50 |