| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.09 | $184.09 | $473.38 | |
Aetna
| Professional | $184.09 | $218.28 | $247.21 | |
BCBS
| Professional | $395.87 | $529.91 | $591.73 | |
Cigna
| Professional | $302.32 | $302.32 | $443.81 | |
Medica
| Facility | $157.79 | $199.87 | $473.38 | |
Medica
| Professional | $134.12 | $315.58 | $525.98 | |
United
| Professional | $110.46 | $268.25 | $447.08 |