| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $141.25 | $269.15 | |
Aetna
| Professional | $100.00 | $114.82 | $141.25 | |
BCBS
| Professional | $194.98 | $288.40 | $338.84 | |
Cigna
| Professional | $158.49 | $158.49 | $194.98 | |
Medica
| Facility | $89.13 | $114.82 | $269.15 | |
Medica
| Professional | $63.10 | $177.83 | $302.00 | |
United
| Professional | $63.10 | $151.36 | $257.04 |