| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.82 | $382.70 | $591.34 | |
Aetna
| Professional | $138.90 | $161.12 | $198.16 | |
BCBS
| Professional | $231.50 | $231.50 | $231.50 | |
Cigna
| Facility | $163.72 | $303.36 | $420.31 | |
Medica
| Facility | $148.16 | $185.20 | $249.15 | |
Medica
| Professional | $77.78 | $111.12 | $922.30 | |
United
| Professional | $77.78 | $111.12 | $277.80 |