| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.95 | $309.95 | $309.95 | |
BCBS
| Professional | $182.02 | $220.62 | $247.58 | |
Cigna
| Professional | $125.55 | $126.81 | $159.44 | |
Medica
| Facility | $76.64 | $130.29 | $520.08 | |
Medica
| Professional | $37.97 | $88.44 | $186.13 | |
United
| Professional | $37.97 | $88.44 | $153.29 |