| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.15 | $163.15 | $419.53 | |
Aetna
| Professional | $163.15 | $219.09 | $450.00 | |
BCBS
| Professional | $350.83 | $469.64 | $524.41 | |
Cigna
| Professional | $268.04 | $268.04 | $393.49 | |
Medica
| Facility | $139.84 | $181.79 | $450.00 | |
Medica
| Professional | $139.84 | $337.95 | $466.14 | |
United
| Professional | $97.89 | $279.68 | $396.22 |