| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $154.88 | $295.12 | |
Aetna
| Professional | $109.65 | $141.25 | $181.97 | |
BCBS
| Professional | $213.80 | $316.23 | $371.54 | |
Cigna
| Professional | $186.21 | $186.21 | $234.42 | |
Medica
| Facility | $97.72 | $128.82 | $295.12 | |
Medica
| Professional | $69.18 | $208.93 | $331.13 | |
United
| Professional | $69.18 | $181.97 | $281.84 |