| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.89 | $200.89 | $200.89 | |
Aetna
| Professional | $166.92 | $170.33 | $256.93 | |
BCBS
| Professional | $227.19 | $227.19 | $227.19 | |
Cigna
| Professional | $149.69 | $149.69 | $149.69 | |
Medica
| Facility | $174.37 | $231.02 | $276.38 | |
Medica
| Professional | $113.02 | $216.36 | $1,158.18 | |
United
| Professional | $114.82 | $201.46 | $326.68 |