| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $245.47 | $467.74 | |
Aetna
| Professional | $173.78 | $204.17 | $309.03 | |
BCBS
| Professional | $380.19 | $501.19 | $588.84 | |
Cigna
| Professional | $302.00 | $302.00 | $380.19 | |
Medica
| Facility | $154.88 | $199.53 | $467.74 | |
Medica
| Professional | $109.65 | $309.03 | $524.81 | |
United
| Professional | $109.65 | $263.03 | $380.19 |