| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $162.18 | $269.15 | |
Aetna
| Professional | $125.89 | $158.49 | $234.42 | |
BCBS
| Professional | $269.15 | $354.81 | $398.11 | |
Cigna
| Professional | $138.04 | $295.12 | $602.56 | |
Medica
| Facility | $165.96 | $245.47 | $724.44 | |
Medica
| Professional | $158.49 | $309.03 | $3,090.30 | |
United
| Professional | $165.96 | $295.12 | $457.09 |