| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.64 | $201.64 | $201.64 | |
Aetna
| Professional | $153.37 | $153.37 | $201.64 | |
BCBS
| Professional | $259.14 | $306.39 | $314.02 | |
Cigna
| Professional | $318.00 | $321.18 | $403.86 | |
Medica
| Facility | $184.78 | $214.10 | $1,281.52 | |
Medica
| Professional | $95.68 | $140.24 | $270.00 | |
United
| Professional | $95.68 | $193.80 | $308.45 |