| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.68 | $220.68 | $220.68 | |
Aetna
| Professional | $210.76 | $210.76 | $220.68 | |
BCBS
| Professional | $283.61 | $335.33 | $343.67 | |
Cigna
| Professional | $351.75 | $355.27 | $446.72 | |
Medica
| Facility | $169.11 | $220.68 | $1,587.88 | |
Medica
| Professional | $120.84 | $168.00 | $252.21 | |
United
| Professional | $118.49 | $240.00 | $341.25 |