| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.90 | $201.64 | $201.64 | |
Aetna
| Professional | $147.11 | $147.11 | $201.64 | |
BCBS
| Professional | $259.14 | $306.39 | $314.02 | |
Cigna
| Professional | $318.00 | $321.18 | $403.86 | |
Medica
| Facility | $127.93 | $201.64 | $1,281.52 | |
Medica
| Professional | $95.68 | $135.66 | $220.83 | |
United
| Professional | $95.68 | $203.49 | $340.00 |