| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.64 | $187.64 | $245.48 | |
Aetna
| Professional | $187.64 | $187.64 | $245.48 | |
BCBS
| Professional | $235.81 | $242.95 | $285.82 | |
Cigna
| Professional | $298.88 | $301.86 | $373.59 | |
Medica
| Facility | $187.64 | $223.29 | $562.91 | |
Medica
| Professional | $128.66 | $214.44 | $410.98 | |
United
| Professional | $100.74 | $214.44 | $410.98 |