| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.44 | $143.44 | $143.44 | |
Aetna
| Professional | $143.44 | $163.06 | $163.06 | |
BCBS
| Professional | $184.36 | $217.97 | $223.40 | |
Cigna
| Professional | $225.75 | $228.01 | $286.70 | |
Medica
| Facility | $57.71 | $143.44 | $836.27 | |
Medica
| Professional | $78.55 | $130.16 | $159.46 | |
United
| Professional | $67.95 | $132.80 | $157.10 |