| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.94 | $148.94 | $148.94 | |
Aetna
| Professional | $128.60 | $128.60 | $148.94 | |
BCBS
| Professional | $191.40 | $226.31 | $231.94 | |
Cigna
| Professional | $178.13 | $179.91 | $226.22 | |
Medica
| Facility | $85.60 | $148.94 | $799.68 | |
Medica
| Professional | $63.84 | $114.90 | $163.12 | |
United
| Professional | $59.98 | $121.49 | $172.73 |