| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.50 | $266.50 | $266.50 | |
Aetna
| Professional | $266.50 | $266.50 | $266.50 | |
BCBS
| Professional | $632.92 | $767.15 | $860.90 | |
Cigna
| Professional | $437.37 | $441.74 | $555.46 | |
Medica
| Facility | $266.50 | $453.05 | $1,808.42 | |
Medica
| Professional | $159.90 | $380.72 | $647.22 | |
United
| Professional | $159.90 | $380.72 | $647.22 |