| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.63 | $192.63 | $192.63 | |
Aetna
| Professional | $192.63 | $212.76 | $212.76 | |
BCBS
| Professional | $211.70 | $249.06 | $256.52 | |
Cigna
| Professional | $263.63 | $266.26 | $334.80 | |
Medica
| Facility | $170.69 | $212.76 | $1,141.64 | |
Medica
| Professional | $194.56 | $346.26 | $522.79 | |
United
| Professional | $238.05 | $281.76 | $522.79 |