| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.63 | $129.63 | $333.36 | |
Aetna
| Professional | $129.63 | $174.09 | $174.09 | |
BCBS
| Professional | $278.77 | $373.18 | $416.70 | |
Cigna
| Professional | $213.11 | $213.11 | $312.85 | |
Medica
| Facility | $111.12 | $140.75 | $333.36 | |
Medica
| Professional | $94.45 | $222.24 | $370.40 | |
United
| Professional | $77.78 | $188.90 | $314.83 |