| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.56 | $205.56 | $205.56 | |
Aetna
| Professional | $192.86 | $205.56 | $322.30 | |
BCBS
| Professional | $425.26 | $465.03 | $557.47 | |
Cigna
| Professional | $263.75 | $461.53 | $596.00 | |
Medica
| Facility | $205.56 | $246.63 | $616.67 | |
Medica
| Professional | $229.17 | $395.74 | $522.36 | |
United
| Professional | $229.17 | $421.50 | $522.36 |