| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.34 | $415.71 | $499.00 | |
Aetna
| Professional | $101.26 | $151.08 | $294.00 | |
BCBS
| Professional | $219.62 | $284.22 | $413.85 | |
Cigna
| Professional | $206.17 | $319.00 | $471.76 | |
Medica
| Facility | $112.34 | $178.02 | $337.02 | |
Medica
| Professional | $180.81 | $348.54 | $1,335.04 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 | |
United
| Professional | $178.22 | $298.33 | $384.22 |