| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.50 | $196.50 | $196.50 | |
Aetna
| Professional | $176.28 | $187.31 | $196.50 | |
BCBS
| Professional | $323.61 | $363.43 | $427.56 | |
Cigna
| Professional | $149.69 | $195.06 | $245.27 | |
Medica
| Facility | $180.15 | $255.45 | $425.68 | |
Medica
| Professional | $186.86 | $376.41 | $1,158.18 | |
United
| Professional | $196.69 | $360.83 | $496.23 |