| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.31 | $189.31 | $189.31 | |
Aetna
| Professional | $187.03 | $194.97 | $258.81 | |
BCBS
| Professional | $228.90 | $248.26 | $315.10 | |
Cigna
| Professional | $220.32 | $303.31 | $398.58 | |
Medica
| Facility | $187.03 | $244.94 | $443.44 | |
Medica
| Professional | $206.75 | $274.86 | $2,055.80 | |
United
| Professional | $201.89 | $251.45 | $331.76 |