| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.10 | $189.10 | $189.10 | |
Aetna
| Professional | $169.37 | $169.37 | $189.10 | |
BCBS
| Professional | $243.01 | $287.32 | $294.47 | |
Cigna
| Professional | $282.75 | $285.58 | $359.09 | |
Medica
| Facility | $92.83 | $189.10 | $1,059.51 | |
Medica
| Professional | $86.87 | $116.42 | $219.38 | |
United
| Professional | $78.14 | $129.66 | $243.75 |