| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.33 | $201.33 | $201.33 | |
Aetna
| Professional | $201.33 | $210.76 | $320.48 | |
BCBS
| Professional | $364.15 | $437.83 | $480.61 | |
Cigna
| Professional | $285.49 | $423.44 | $636.23 | |
Medica
| Facility | $164.02 | $201.33 | $355.95 | |
Medica
| Professional | $228.52 | $407.27 | $1,248.85 | |
United
| Professional | $221.61 | $359.63 | $447.00 |