| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $467.74 | $933.25 | |
Aetna
| Professional | $165.96 | $199.53 | $245.47 | |
BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
Cigna
| Facility | $223.87 | $457.09 | $562.34 | |
Medica
| Facility | $199.53 | $251.19 | $331.13 | |
Medica
| Professional | $104.71 | $147.91 | $1,230.27 | |
United
| Facility | $104.71 | $251.19 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $323.59 |