| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.13 | $173.13 | $173.13 | |
Aetna
| Professional | $163.94 | $163.94 | $173.13 | |
BCBS
| Professional | $222.50 | $263.08 | $269.62 | |
Cigna
| Professional | $226.88 | $229.14 | $288.13 | |
Medica
| Facility | $109.13 | $173.13 | $1,037.98 | |
Medica
| Professional | $81.38 | $146.47 | $192.05 | |
United
| Professional | $65.09 | $118.72 | $189.60 |