| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.35 | $182.35 | $468.90 | |
Aetna
| Professional | $182.35 | $182.35 | $244.87 | |
BCBS
| Professional | $439.60 | $524.91 | $589.05 | |
Cigna
| Professional | $299.43 | $302.42 | $380.27 | |
Medica
| Facility | $169.33 | $197.98 | $547.04 | |
Medica
| Professional | $109.41 | $309.36 | $521.00 | |
United
| Professional | $109.41 | $265.70 | $377.73 |