| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.34 | $749.56 | $780.74 | |
Aetna
| Professional | $111.72 | $132.66 | $431.65 | |
BCBS
| Professional | $243.94 | $306.70 | $384.63 | |
Cigna
| Professional | $174.11 | $292.08 | $376.35 | |
Medica
| Facility | $117.34 | $192.13 | $250.11 | |
Medica
| Professional | $155.91 | $266.24 | $873.60 | |
United
| Professional | $155.91 | $260.80 | $343.00 |