| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $512.86 | $1,258.93 | |
Aetna
| Professional | $416.87 | $416.87 | $416.87 | |
BCBS
| Facility | $66.07 | $97.72 | $131.83 | |
Cigna
| Facility | $269.15 | $269.15 | $1,122.02 | |
Cigna
| Professional | $512.86 | $512.86 | $602.56 | |
Medica
| Facility | $416.87 | $457.09 | $724.44 | |
Medica
| Professional | $173.78 | $186.21 | $1,548.82 | |
United
| Facility | $173.78 | $416.87 | $501.19 | |
United
| Professional | $173.78 | $173.78 | $275.42 |