| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.00 | $94.00 | $94.00 | |
Aetna
| Professional | $94.00 | $94.00 | $111.85 | |
BCBS
| Professional | $493.99 | $587.84 | $626.40 | |
Cigna
| Professional | $39.00 | $39.00 | $48.75 | |
Medica
| Facility | $94.00 | $129.63 | $282.00 | |
Medica
| Professional | $87.45 | $286.58 | $343.62 | |
United
| Professional | $87.45 | $286.58 | $546.58 |