| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.05 | $146.05 | $146.05 | |
Aetna
| Professional | $108.29 | $108.29 | $146.05 | |
BCBS
| Professional | $187.68 | $221.90 | $227.42 | |
Cigna
| Professional | $234.38 | $236.72 | $297.66 | |
Medica
| Facility | $94.36 | $146.05 | $939.42 | |
Medica
| Professional | $79.97 | $99.86 | $159.94 | |
United
| Professional | $59.97 | $89.95 | $159.94 |