| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.00 | $365.00 | $365.00 | |
Aetna
| Professional | $248.06 | $277.08 | $365.00 | |
BCBS
| Professional | $285.02 | $337.00 | $345.38 | |
Cigna
| Professional | $353.25 | $356.78 | $448.63 | |
Medica
| Facility | $109.57 | $304.83 | $1,352.24 | |
Medica
| Professional | $199.87 | $253.31 | $405.73 | |
United
| Professional | $125.11 | $245.11 | $399.73 |