| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $367.50 | $420.00 | |
Aetna
| Professional | $40.00 | $40.00 | $364.00 | |
BCBS
| Professional | $271.60 | $362.74 | $424.48 | |
Cigna
| Professional | $240.00 | $348.00 | $444.00 | |
Medica
| Facility | $40.00 | $40.00 | $42.00 | |
Medica
| Professional | $47.00 | $52.00 | $1,576.96 | |
United
| Professional | $47.00 | $50.00 | $65.00 |