| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.09 | $120.09 | $120.09 | |
Aetna
| Professional | $120.09 | $133.58 | $133.58 | |
BCBS
| Professional | $154.31 | $182.45 | $186.99 | |
Cigna
| Professional | $184.88 | $186.72 | $234.79 | |
Medica
| Facility | $88.91 | $133.58 | $840.48 | |
Medica
| Professional | $65.76 | $119.35 | $133.47 | |
United
| Professional | $53.04 | $79.56 | $132.61 |