| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.50 | $146.50 | $146.50 | |
Aetna
| Professional | $146.50 | $166.82 | $166.82 | |
BCBS
| Professional | $188.28 | $222.61 | $228.15 | |
Cigna
| Professional | $231.00 | $233.31 | $293.37 | |
Medica
| Facility | $87.67 | $155.86 | $927.48 | |
Medica
| Professional | $80.23 | $100.46 | $160.44 | |
United
| Professional | $69.50 | $133.15 | $199.17 |