| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $169.82 | $275.42 | |
Aetna
| Professional | $131.83 | $165.96 | $208.93 | |
BCBS
| Professional | $275.42 | $363.08 | $398.11 | |
Cigna
| Professional | $144.54 | $263.03 | $436.52 | |
Medica
| Facility | $141.25 | $229.09 | $309.03 | |
Medica
| Professional | $169.82 | $323.59 | $1,023.29 | |
United
| Professional | $158.49 | $269.15 | $389.05 |