| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.11 | $413.28 | $638.60 | |
Aetna
| Professional | $150.00 | $174.00 | $214.00 | |
BCBS
| Professional | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $176.80 | $327.60 | $453.35 | |
Medica
| Facility | $160.00 | $200.00 | $269.06 | |
Medica
| Professional | $84.00 | $120.00 | $996.00 | |
United
| Professional | $84.00 | $120.00 | $300.00 |