| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.35 | $278.35 | $278.35 | |
Aetna
| Professional | $203.06 | $203.06 | $278.35 | |
BCBS
| Professional | $357.73 | $422.96 | $433.49 | |
Cigna
| Professional | $438.75 | $443.14 | $557.21 | |
Medica
| Facility | $112.17 | $278.35 | $1,762.49 | |
Medica
| Professional | $152.41 | $190.87 | $374.08 | |
United
| Professional | $112.45 | $187.26 | $304.83 |