| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.50 | $262.50 | $675.00 | |
Aetna
| Professional | $262.50 | $262.50 | $262.50 | |
BCBS
| Professional | $564.47 | $755.63 | $843.75 | |
Cigna
| Professional | $391.13 | $391.13 | $488.91 | |
Medica
| Facility | $225.00 | $285.00 | $675.00 | |
Medica
| Professional | $191.25 | $450.00 | $750.00 | |
United
| Professional | $157.50 | $445.33 | $637.50 |