| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $234.42 | $446.68 | |
Aetna
| Professional | $173.78 | $223.87 | $295.12 | |
BCBS
| Professional | $363.08 | $489.78 | $562.34 | |
Cigna
| Professional | $281.84 | $281.84 | $363.08 | |
Medica
| Facility | $173.78 | $295.12 | $1,174.90 | |
Medica
| Professional | $104.71 | $125.89 | $416.87 | |
United
| Professional | $104.71 | $245.47 | $354.81 |