| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.87 | $104.87 | $104.87 | |
Aetna
| Professional | $104.87 | $120.74 | $120.74 | |
BCBS
| Professional | $134.77 | $159.34 | $163.31 | |
Cigna
| Professional | $167.25 | $168.92 | $212.41 | |
Medica
| Facility | $65.56 | $120.74 | $730.36 | |
Medica
| Professional | $57.43 | $107.87 | $119.85 | |
United
| Professional | $56.30 | $114.05 | $162.16 |