| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.22 | $145.22 | $373.43 | |
Aetna
| Professional | $145.22 | $195.01 | $195.01 | |
BCBS
| Professional | $312.27 | $418.03 | $466.79 | |
Cigna
| Professional | $238.30 | $238.30 | $349.84 | |
Medica
| Facility | $124.48 | $161.82 | $785.17 | |
Medica
| Professional | $124.48 | $300.82 | $414.92 | |
United
| Professional | $87.13 | $211.61 | $352.68 |