| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.74 | $248.00 | $283.85 | |
BCBS
| Professional | $301.82 | $301.82 | $301.82 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Medica
| Facility | $198.74 | $224.22 | $323.08 | |
Medica
| Professional | $89.03 | $133.55 | $1,689.04 | |
United
| Professional | $89.03 | $133.55 | $170.99 |