| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.33 | $169.33 | $435.42 | |
Aetna
| Professional | $169.33 | $227.39 | $227.39 | |
BCBS
| Professional | $364.12 | $487.43 | $544.28 | |
Cigna
| Professional | $277.95 | $277.95 | $408.04 | |
Medica
| Facility | $145.13 | $188.68 | $435.42 | |
Medica
| Professional | $145.13 | $350.76 | $483.80 | |
United
| Professional | $101.60 | $290.27 | $411.23 |