| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.23 | $178.23 | $178.23 | |
Aetna
| Professional | $129.97 | $168.31 | $178.23 | |
BCBS
| Professional | $229.05 | $270.82 | $277.55 | |
Cigna
| Professional | $280.88 | $283.68 | $356.71 | |
Medica
| Facility | $71.79 | $178.23 | $1,128.10 | |
Medica
| Professional | $97.59 | $119.87 | $195.18 | |
United
| Professional | $71.98 | $122.21 | $242.23 |