| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.88 | $223.88 | $223.88 | |
Aetna
| Professional | $108.79 | $180.54 | $223.88 | |
BCBS
| Professional | $183.40 | $246.59 | $313.02 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Medica
| Facility | $190.05 | $235.07 | $396.95 | |
Medica
| Professional | $168.10 | $207.66 | $1,182.54 | |
United
| Professional | $163.49 | $205.58 | $354.56 |