| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.51 | $141.51 | $141.51 | |
Aetna
| Professional | $81.17 | $133.72 | $141.51 | |
BCBS
| Professional | $181.86 | $215.02 | $220.37 | |
Cigna
| Professional | $223.13 | $225.36 | $283.37 | |
Medica
| Facility | $89.78 | $141.51 | $899.40 | |
Medica
| Professional | $77.50 | $97.04 | $197.35 | |
United
| Facility | $85.00 | $85.00 | $85.00 | |
United
| Professional | $67.15 | $100.06 | $192.46 |