| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.62 | $134.62 | $346.18 | |
Aetna
| Professional | $134.62 | $180.78 | $180.78 | |
BCBS
| Professional | $289.49 | $387.52 | $432.72 | |
Cigna
| Professional | $221.37 | $221.37 | $324.98 | |
Medica
| Facility | $115.39 | $146.16 | $346.18 | |
Medica
| Professional | $81.99 | $200.95 | $384.64 | |
United
| Professional | $80.77 | $200.95 | $278.86 |