| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.95 | $319.95 | $319.95 | |
Aetna
| Professional | $232.70 | $263.54 | $319.95 | |
BCBS
| Professional | $269.64 | $318.82 | $326.75 | |
Cigna
| Professional | $334.50 | $337.85 | $424.82 | |
Medica
| Facility | $103.66 | $288.39 | $1,271.08 | |
Medica
| Professional | $175.21 | $244.99 | $355.67 | |
United
| Professional | $118.99 | $233.13 | $350.41 |