| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.59 | $138.59 | $356.38 | |
Aetna
| Professional | $138.59 | $186.11 | $186.11 | |
BCBS
| Professional | $298.02 | $398.95 | $445.48 | |
Cigna
| Professional | $227.56 | $227.56 | $334.07 | |
Medica
| Facility | $104.24 | $150.47 | $356.38 | |
Medica
| Professional | $118.79 | $287.08 | $395.98 | |
United
| Professional | $83.16 | $253.43 | $339.49 |