| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $446.68 | |
Aetna
| Professional | $165.96 | $177.83 | $234.42 | |
BCBS
| Professional | $363.08 | $501.19 | $562.34 | |
Cigna
| Professional | $288.40 | $288.40 | $354.81 | |
Medica
| Facility | $147.91 | $190.55 | $446.68 | |
Medica
| Professional | $104.71 | $295.12 | $501.19 | |
United
| Professional | $104.71 | $251.19 | $426.58 |