| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.04 | $259.04 | $259.04 | |
Aetna
| Professional | $196.61 | $244.74 | $259.04 | |
BCBS
| Professional | $332.89 | $393.60 | $403.39 | |
Cigna
| Professional | $408.38 | $412.46 | $518.64 | |
Medica
| Facility | $104.38 | $259.04 | $1,640.11 | |
Medica
| Professional | $141.85 | $174.27 | $283.69 | |
United
| Professional | $122.90 | $156.97 | $373.43 |