| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.33 | $154.50 | $181.77 | |
Aetna
| Professional | $136.33 | $163.61 | $199.25 | |
BCBS
| Professional | $272.14 | $320.17 | $367.68 | |
Cigna
| Professional | $288.18 | $350.22 | $437.77 | |
Medica
| Facility | $132.24 | $181.77 | $685.02 | |
Medica
| Professional | $198.41 | $290.32 | $472.93 | |
United
| Professional | $190.09 | $328.97 | $472.93 |