| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.89 | $232.89 | $232.89 | |
Aetna
| Professional | $169.87 | $169.87 | $232.89 | |
BCBS
| Professional | $299.29 | $353.87 | $362.67 | |
Cigna
| Professional | $367.13 | $370.80 | $466.25 | |
Medica
| Facility | $93.83 | $232.89 | $1,474.48 | |
Medica
| Professional | $127.53 | $156.66 | $255.05 | |
United
| Professional | $94.08 | $156.66 | $258.88 |