| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.54 | $485.32 | $632.70 | |
Aetna
| Professional | $41.32 | $83.82 | $213.44 | |
BCBS
| Professional | $88.11 | $138.74 | $218.14 | |
Cigna
| Professional | $70.23 | $130.80 | $244.29 | |
Medica
| Facility | $57.37 | $217.26 | $340.09 | |
Medica
| Professional | $93.11 | $165.69 | $866.68 | |
United
| Professional | $93.11 | $153.63 | $194.94 |