| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.78 | $122.78 | $315.72 | |
Aetna
| Professional | $122.78 | $164.88 | $164.88 | |
BCBS
| Professional | $264.02 | $353.43 | $394.65 | |
Cigna
| Professional | $201.54 | $201.54 | $295.88 | |
Medica
| Facility | $75.00 | $126.29 | $315.72 | |
Medica
| Professional | $91.92 | $214.03 | $350.80 | |
United
| Professional | $73.67 | $179.25 | $336.94 |