| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.66 | $257.66 | $263.43 | |
Aetna
| Professional | $192.67 | $263.43 | $345.09 | |
BCBS
| Professional | $480.59 | $589.45 | $636.87 | |
Cigna
| Professional | $292.86 | $543.14 | $803.23 | |
Medica
| Facility | $257.66 | $360.81 | $504.80 | |
Medica
| Professional | $289.07 | $525.58 | $1,596.18 | |
United
| Professional | $270.31 | $473.02 | $620.29 |