| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $210.00 | $540.00 | |
Aetna
| Professional | $210.00 | $282.00 | $282.00 | |
BCBS
| Professional | $451.58 | $604.50 | $675.00 | |
Cigna
| Professional | $344.44 | $344.44 | $505.66 | |
Medica
| Facility | $180.00 | $228.00 | $540.00 | |
Medica
| Professional | $169.23 | $394.05 | $600.00 | |
United
| Professional | $126.00 | $360.00 | $510.00 |