| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $141.25 | $165.96 | |
Aetna
| Professional | $125.89 | $173.78 | $288.40 | |
BCBS
| Professional | $316.23 | $389.05 | $457.09 | |
Cigna
| Professional | $269.15 | $346.74 | $446.68 | |
Medica
| Facility | $165.96 | $257.04 | $501.19 | |
Medica
| Professional | $141.25 | $302.00 | $416.87 | |
United
| Professional | $141.25 | $302.00 | $446.68 |