| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.05 | $146.05 | $146.05 | |
Aetna
| Professional | $112.90 | $112.90 | $146.05 | |
BCBS
| Professional | $187.68 | $221.90 | $227.42 | |
Cigna
| Professional | $234.38 | $236.72 | $297.66 | |
Medica
| Facility | $136.02 | $155.22 | $939.42 | |
Medica
| Professional | $79.97 | $103.43 | $162.34 | |
United
| Professional | $59.97 | $100.15 | $202.19 |