| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.84 | $172.84 | $444.46 | |
Aetna
| Professional | $172.84 | $172.84 | $172.84 | |
BCBS
| Professional | $410.49 | $497.54 | $558.35 | |
Cigna
| Professional | $283.73 | $286.57 | $360.34 | |
Medica
| Facility | $172.84 | $293.83 | $1,172.86 | |
Medica
| Professional | $103.71 | $246.92 | $419.76 | |
United
| Professional | $103.71 | $125.93 | $358.03 |