| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.00 | $266.00 | $684.00 | |
Aetna
| Professional | $266.00 | $357.20 | $357.20 | |
BCBS
| Professional | $572.00 | $765.70 | $855.00 | |
Cigna
| Professional | $436.95 | $436.95 | $641.47 | |
Medica
| Facility | $228.00 | $288.80 | $684.00 | |
Medica
| Professional | $193.80 | $456.00 | $760.00 | |
United
| Professional | $159.60 | $380.00 | $551.00 |