| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.44 | $245.44 | $495.63 | |
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
BCBS
| Professional | $414.48 | $554.83 | $619.54 | |
Cigna
| Professional | $316.36 | $316.36 | $464.43 | |
Medica
| Facility | $165.21 | $245.44 | $495.63 | |
Medica
| Professional | $140.43 | $330.42 | $550.70 | |
United
| Professional | $115.65 | $326.99 | $468.10 |