| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $204.17 | $512.86 | |
BCBS
| Professional | $144.54 | $173.78 | $331.13 | |
Cigna
| Professional | $154.88 | $234.42 | $426.58 | |
Medica
| Facility | 26 | $338.84 | $660.69 | $660.69 |
Medica
| Professional | $154.88 | $234.42 | $1,348.96 | |
United
| Professional | $154.88 | $194.98 | $363.08 |