| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $162.18 | $977.24 | |
Aetna
| Professional | $114.82 | $154.88 | $218.78 | |
BCBS
| Professional | $251.19 | $346.74 | $389.05 | |
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
Medica
| Facility | $104.71 | $134.90 | $309.03 | |
Medica
| Professional | $144.54 | $346.74 | $1,412.54 | |
United
| Professional | $144.54 | $208.93 | $446.68 |