| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.65 | $182.65 | $182.65 | |
Aetna
| Professional | $144.50 | $182.65 | $217.79 | |
BCBS
| Professional | $269.08 | $311.67 | $366.67 | |
Cigna
| Professional | $174.75 | $176.50 | $221.93 | |
Medica
| Facility | $150.82 | $182.65 | $228.47 | |
Medica
| Professional | $187.67 | $338.26 | $1,105.55 | |
United
| Professional | $187.67 | $332.18 | $454.80 |