| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.80 | $163.80 | $421.20 | |
Aetna
| Professional | $163.80 | $219.96 | $219.96 | |
BCBS
| Professional | $352.23 | $471.51 | $526.50 | |
Cigna
| Professional | $268.86 | $268.86 | $394.70 | |
Medica
| Facility | $82.93 | $168.48 | $421.20 | |
Medica
| Professional | $119.34 | $280.80 | $468.00 | |
United
| Professional | $98.28 | $238.68 | $339.30 |