| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.55 | $182.55 | $469.42 | |
Aetna
| Professional | $182.55 | $245.14 | $245.14 | |
BCBS
| Professional | $392.56 | $525.49 | $586.78 | |
Cigna
| Professional | $299.43 | $299.43 | $439.57 | |
Medica
| Facility | $156.47 | $198.20 | $469.42 | |
Medica
| Professional | $156.47 | $378.15 | $521.58 | |
United
| Professional | $109.53 | $312.95 | $447.16 |