| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.27 | $503.81 | $982.40 | |
Aetna
| Professional | $52.89 | $104.90 | $188.47 | |
BCBS
| Professional | $113.75 | $147.22 | $271.52 | |
Cigna
| Professional | $98.99 | $170.99 | $357.60 | |
Medica
| Facility | $57.61 | $141.93 | $342.62 | |
Medica
| Professional | $118.73 | $209.63 | $1,006.26 | |
United
| Professional | $118.73 | $163.94 | $246.63 |