| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.90 | $196.45 | $399.50 | |
Aetna
| Professional | $159.78 | $192.50 | $221.61 | |
BCBS
| Professional | $436.90 | $498.14 | $586.04 | |
Cigna
| Professional | $348.54 | $473.37 | $728.92 | |
Medica
| Facility | $121.81 | $196.45 | $522.82 | |
Medica
| Professional | $178.64 | $351.24 | $467.61 | |
United
| Professional | $198.49 | $351.24 | $453.63 |