| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.62 | $231.62 | $231.62 | |
Aetna
| Professional | $231.62 | $286.23 | $286.23 | |
BCBS
| Professional | $297.66 | $351.94 | $360.70 | |
Cigna
| Professional | $396.00 | $399.96 | $502.92 | |
Medica
| Facility | $161.16 | $286.23 | $1,741.43 | |
Medica
| Professional | $126.83 | $238.24 | $264.70 | |
United
| Professional | $105.88 | $238.24 | $264.70 |