| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.05 | $207.05 | $532.41 | |
Aetna
| Professional | $207.05 | $278.04 | $278.04 | |
BCBS
| Professional | $445.24 | $596.02 | $665.53 | |
Cigna
| Professional | $339.90 | $339.90 | $498.99 | |
Medica
| Facility | $177.47 | $224.80 | $532.41 | |
Medica
| Professional | $150.85 | $354.95 | $591.58 | |
United
| Professional | $124.23 | $301.70 | $428.90 |