| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.01 | $192.01 | $192.01 | |
Aetna
| Professional | $161.94 | $185.33 | $192.01 | |
BCBS
| Professional | $370.84 | $436.29 | $478.34 | |
Cigna
| Professional | $167.84 | $207.18 | $260.51 | |
Medica
| Facility | $183.76 | $195.53 | $326.42 | |
Medica
| Professional | $197.77 | $333.68 | $1,182.54 | |
United
| Professional | $177.75 | $306.88 | $453.75 |