| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.38 | $192.38 | $494.69 | |
Aetna
| Professional | $192.38 | $258.33 | $258.33 | |
BCBS
| Professional | $413.69 | $553.78 | $618.37 | |
Cigna
| Professional | $315.95 | $315.95 | $463.82 | |
Medica
| Facility | $164.90 | $208.87 | $494.69 | |
Medica
| Professional | $140.16 | $329.80 | $549.66 | |
United
| Facility | $274.83 | $274.83 | $274.83 | |
United
| Professional | $115.43 | $280.33 | $398.50 |