| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.60 | $221.60 | $221.60 | |
Aetna
| Professional | $221.60 | $234.78 | $234.78 | |
BCBS
| Professional | $284.79 | $336.73 | $345.10 | |
Cigna
| Professional | $391.88 | $395.79 | $497.68 | |
Medica
| Facility | $157.52 | $234.78 | $1,607.39 | |
Medica
| Professional | $121.35 | $151.96 | $250.51 | |
United
| Professional | $117.68 | $151.96 | $250.51 |