| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.74 | $252.74 | $252.74 | |
Aetna
| Professional | $238.75 | $238.75 | $252.74 | |
BCBS
| Professional | $324.80 | $384.03 | $393.58 | |
Cigna
| Professional | $398.25 | $402.23 | $505.78 | |
Medica
| Facility | $160.31 | $268.29 | $1,603.51 | |
Medica
| Professional | $138.38 | $173.30 | $280.93 | |
United
| Professional | $102.33 | $173.30 | $365.15 |