| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.63 | $152.63 | $392.51 | |
Aetna
| Professional | $152.63 | $180.99 | $204.98 | |
BCBS
| Professional | $362.51 | $439.39 | $493.09 | |
Cigna
| Professional | $250.69 | $253.20 | $318.38 | |
Medica
| Facility | $152.63 | $327.08 | $1,035.79 | |
Medica
| Professional | $91.59 | $218.06 | $370.70 | |
United
| Professional | $91.59 | $218.06 | $305.27 |