| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.00 | $132.00 | $339.43 | |
Aetna
| Professional | $132.00 | $177.26 | $282.85 | |
BCBS
| Professional | $283.85 | $379.97 | $424.28 | |
Cigna
| Professional | $216.83 | $216.83 | $318.31 | |
Medica
| Facility | $113.14 | $147.08 | $339.43 | |
Medica
| Professional | $197.29 | $377.14 | $1,478.21 | |
United
| Professional | $113.14 | $320.57 | $443.90 |