| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.79 | $182.79 | $182.79 | |
Aetna
| Professional | $178.56 | $178.56 | $182.79 | |
BCBS
| Professional | $234.92 | $277.76 | $284.67 | |
Cigna
| Professional | $297.75 | $300.73 | $378.14 | |
Medica
| Facility | $128.99 | $182.79 | $1,236.41 | |
Medica
| Professional | $100.10 | $128.15 | $200.19 | |
United
| Professional | $90.38 | $134.66 | $256.98 |