| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.95 | $203.95 | $524.45 | |
Aetna
| Professional | $203.95 | $273.88 | $273.88 | |
BCBS
| Professional | $438.57 | $587.09 | $655.56 | |
Cigna
| Professional | $334.94 | $334.94 | $491.71 | |
Medica
| Facility | $133.72 | $209.78 | $524.45 | |
Medica
| Professional | $149.63 | $349.63 | $582.72 | |
United
| Professional | $122.37 | $305.93 | $448.11 |