| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.15 | $219.15 | $219.15 | |
Aetna
| Professional | $209.30 | $209.30 | $219.15 | |
BCBS
| Professional | $281.64 | $333.00 | $341.28 | |
Cigna
| Professional | $349.13 | $352.62 | $443.39 | |
Medica
| Facility | $163.58 | $219.15 | $1,633.27 | |
Medica
| Professional | $120.01 | $153.08 | $250.46 | |
United
| Professional | $100.18 | $150.28 | $250.46 |