| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.12 | $145.12 | $373.16 | |
Aetna
| Professional | $145.12 | $194.87 | $194.87 | |
BCBS
| Professional | $312.06 | $417.73 | $466.45 | |
Cigna
| Professional | $238.30 | $238.30 | $349.84 | |
Medica
| Facility | $124.39 | $157.56 | $373.16 | |
Medica
| Professional | $105.73 | $248.77 | $414.62 | |
United
| Professional | $87.07 | $211.46 | $318.83 |