| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.30 | $217.30 | $217.30 | |
BCBS
| Professional | $200.69 | $243.25 | $272.98 | |
Cigna
| Professional | $126.00 | $127.26 | $157.50 | |
Medica
| Facility | $84.50 | $176.75 | $573.41 | |
Medica
| Professional | $59.84 | $144.86 | $206.99 | |
United
| Professional | $50.70 | $169.01 | $206.99 |