| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.42 | $208.42 | $208.42 | |
Aetna
| Professional | $168.06 | $201.73 | $314.70 | |
BCBS
| Professional | $405.03 | $476.51 | $522.44 | |
Cigna
| Professional | $183.31 | $226.11 | $284.32 | |
Medica
| Facility | $201.53 | $213.17 | $354.31 | |
Medica
| Professional | $214.37 | $361.26 | $1,287.73 | |
United
| Professional | $182.21 | $332.64 | $492.32 |