| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.52 | $273.52 | $273.52 | |
Aetna
| Professional | $273.52 | $273.52 | $367.31 | |
BCBS
| Professional | $649.60 | $787.36 | $883.59 | |
Cigna
| Professional | $448.93 | $453.42 | $570.14 | |
Medica
| Facility | $273.52 | $465.00 | $1,856.06 | |
Medica
| Professional | $164.12 | $390.75 | $664.28 | |
United
| Professional | $164.12 | $390.75 | $566.59 |