| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.06 | $374.54 | $374.54 | |
Aetna
| Professional | $162.90 | $228.06 | $306.25 | |
BCBS
| Professional | $541.63 | $656.49 | $736.72 | |
Cigna
| Professional | $374.18 | $377.92 | $475.21 | |
Medica
| Facility | $185.31 | $325.80 | $1,547.55 | |
Medica
| Professional | $80.69 | $162.90 | $553.86 | |
United
| Professional | $80.69 | $162.90 | $456.12 |