| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.29 | $140.50 | $140.50 | |
Aetna
| Professional | $102.50 | $102.50 | $140.50 | |
BCBS
| Professional | $180.57 | $213.49 | $218.80 | |
Cigna
| Professional | $221.63 | $223.84 | $281.45 | |
Medica
| Facility | $56.61 | $140.50 | $889.53 | |
Medica
| Professional | $76.94 | $94.52 | $153.87 | |
United
| Professional | $66.66 | $94.52 | $202.55 |