| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.28 | $175.28 | $175.28 | |
Aetna
| Professional | $175.28 | $175.28 | $175.28 | |
BCBS
| Professional | $123.37 | $145.36 | $159.10 | |
Cigna
| Professional | $140.25 | $141.65 | $178.12 | |
Medica
| Facility | $175.28 | $175.28 | $324.27 | |
United
| Professional | $150.32 | $178.95 | $178.95 |