| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.45 | $242.45 | $317.18 | |
Aetna
| Professional | $242.45 | $242.45 | $317.18 | |
BCBS
| Professional | $304.69 | $313.91 | $369.31 | |
Cigna
| Professional | $386.25 | $390.11 | $482.81 | |
Medica
| Facility | $242.45 | $288.52 | $727.35 | |
Medica
| Professional | $166.25 | $277.08 | $531.04 | |
United
| Professional | $130.16 | $249.17 | $531.04 |