| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $147.91 | $281.84 | |
Aetna
| Professional | $104.71 | $120.23 | $147.91 | |
BCBS
| Professional | $204.17 | $302.00 | $354.81 | |
Cigna
| Professional | $181.97 | $181.97 | $223.87 | |
Medica
| Facility | $93.33 | $120.23 | $281.84 | |
Medica
| Professional | $66.07 | $186.21 | $316.23 | |
United
| Professional | $66.07 | $158.49 | $269.15 |