| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.70 | $192.70 | $4,129.42 | |
Aetna
| Professional | $142.53 | $142.54 | $207.65 | |
BCBS
| Professional | $247.65 | $292.81 | $300.08 | |
Cigna
| Professional | $287.25 | $290.12 | $364.81 | |
Medica
| Facility | $115.63 | $207.65 | $1,140.98 | |
Medica
| Professional | $103.07 | $177.60 | $214.21 | |
United
| Professional | $78.93 | $177.60 | $264.86 |