| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $316.23 | |
Aetna
| Professional | $125.89 | $281.84 | $316.23 | |
BCBS
| Professional | $275.42 | $316.23 | $371.54 | |
Cigna
| Professional | $389.05 | $389.05 | $478.63 | |
Medica
| Facility | $239.88 | $288.40 | $724.44 | |
Medica
| Professional | $165.96 | $251.19 | $501.19 | |
United
| Professional | $165.96 | $309.03 | $501.19 |