| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.75 | $510.24 | $788.42 | |
Aetna
| Professional | $185.19 | $214.82 | $264.20 | |
BCBS
| Professional | $251.86 | $251.86 | $251.86 | |
Cigna
| Facility | $162.29 | $260.01 | $560.16 | |
Cigna
| Professional | $283.73 | $286.57 | $360.34 | |
Medica
| Facility | $162.97 | $209.88 | $429.64 | |
Medica
| Professional | $103.71 | $148.15 | $419.76 | |
United
| Professional | $103.71 | $148.15 | $395.07 |