| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.41 | $123.41 | $210.02 | |
Aetna
| Professional | $123.41 | $709.74 | $800.06 | |
BCBS
| Professional | $235.53 | $292.26 | $462.45 | |
Cigna
| Professional | $126.75 | $217.88 | $630.72 | |
Medica
| Facility | $110.14 | $210.02 | $707.24 | |
Medica
| Professional | $54.30 | $128.26 | $498.00 | |
United
| Professional | $55.64 | $303.66 | $979.48 |