| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.24 | $146.24 | $376.06 | |
Aetna
| Professional | $146.24 | $196.38 | $196.38 | |
BCBS
| Professional | $314.48 | $420.97 | $470.07 | |
Cigna
| Professional | $239.95 | $239.95 | $352.26 | |
Medica
| Facility | $139.97 | $192.50 | $376.06 | |
Medica
| Professional | $125.35 | $302.93 | $417.84 | |
United
| Facility | $208.92 | $208.92 | $208.92 | |
United
| Professional | $87.75 | $213.10 | $355.16 |