| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.25 | $201.25 | $201.25 | |
Aetna
| Professional | $82.46 | $95.33 | $201.25 | |
BCBS
| Professional | $547.65 | $644.29 | $644.29 | |
Cigna
| Professional | $72.15 | $100.93 | $163.37 | |
Medica
| Facility | $81.39 | $106.51 | $201.25 | |
Medica
| Professional | $81.56 | $109.46 | $579.79 | |
United
| Professional | $79.09 | $99.77 | $148.81 |