| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.95 | $210.95 | $1,080.00 | |
Aetna
| Professional | $210.95 | $564.00 | $564.00 | |
BCBS
| Professional | $903.15 | $1,209.00 | $1,350.00 | |
Cigna
| Professional | $689.71 | $689.71 | $1,012.53 | |
Medica
| Facility | $210.95 | $360.00 | $900.00 | |
Medica
| Professional | $153.69 | $385.73 | $720.00 | |
United
| Professional | $153.69 | $357.87 | $602.70 |