| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.37 | $213.37 | $548.66 | |
Aetna
| Professional | $213.37 | $286.52 | $286.52 | |
BCBS
| Professional | $458.82 | $614.19 | $685.82 | |
Cigna
| Professional | $350.22 | $350.22 | $514.14 | |
Medica
| Facility | $103.74 | $219.46 | $548.66 | |
Medica
| Professional | $155.44 | $365.77 | $609.62 | |
United
| Professional | $128.02 | $310.91 | $518.17 |