| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.02 | $256.02 | $256.02 | |
Aetna
| Professional | $256.02 | $283.97 | $349.07 | |
BCBS
| Professional | $42.67 | $42.67 | $42.67 | |
Cigna
| Professional | $34.33 | $34.33 | $698.44 | |
Medica
| Facility | $32.81 | $256.02 | $336.03 | |
Medica
| Professional | $15.45 | $25.15 | $51.63 | |
United
| Professional | $15.45 | $25.15 | $51.63 |