| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.60 | $275.60 | $275.60 | |
Aetna
| Professional | $139.65 | $161.61 | $275.60 | |
BCBS
| Professional | $350.70 | $350.70 | $350.70 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Medica
| Facility | $139.65 | $275.20 | $392.42 | |
Medica
| Professional | $96.39 | $144.59 | $1,409.81 | |
United
| Professional | $96.39 | $144.59 | $240.98 |