| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.82 | $242.82 | $242.82 | |
Aetna
| Professional | $118.47 | $188.57 | $242.82 | |
BCBS
| Professional | $201.60 | $271.07 | $323.88 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
Medica
| Facility | $203.33 | $254.96 | $429.31 | |
Medica
| Professional | $182.21 | $224.41 | $1,287.73 | |
United
| Professional | $171.50 | $220.80 | $361.26 |