| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.56 | $186.56 | $245.48 | |
Aetna
| Professional | $186.56 | $245.48 | $245.48 | |
BCBS
| Professional | $295.30 | $295.30 | $295.30 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
Medica
| Facility | $131.56 | $222.87 | $1,206.97 | |
Medica
| Professional | $85.78 | $201.73 | $286.08 | |
United
| Professional | $85.78 | $203.03 | $267.63 |