| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.87 | $193.87 | $193.87 | |
Aetna
| Professional | $78.67 | $169.93 | $193.87 | |
BCBS
| Professional | $249.15 | $294.58 | $301.91 | |
Cigna
| Professional | $309.00 | $312.08 | $392.43 | |
Medica
| Facility | $133.69 | $193.87 | $1,247.08 | |
Medica
| Professional | $106.16 | $139.59 | $212.31 | |
United
| Professional | $67.80 | $132.94 | $212.31 |