| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.81 | $187.92 | $221.08 | |
Aetna
| Professional | $165.81 | $200.06 | $263.20 | |
BCBS
| Professional | $385.37 | $453.38 | $520.66 | |
Cigna
| Professional | $407.61 | $495.37 | $619.21 | |
Medica
| Facility | $186.24 | $238.56 | $906.80 | |
Medica
| Professional | $241.55 | $351.34 | $575.05 | |
United
| Professional | $241.55 | $400.52 | $575.05 |