| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.63 | $152.63 | $392.51 | |
Aetna
| Professional | $152.63 | $243.50 | $277.23 | |
BCBS
| Professional | $328.23 | $439.39 | $490.64 | |
Cigna
| Professional | $250.57 | $250.57 | $367.84 | |
Medica
| Facility | $130.84 | $170.09 | $392.51 | |
Medica
| Professional | $130.84 | $316.19 | $436.12 | |
United
| Professional | $91.59 | $261.67 | $370.70 |