| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.00 | $680.90 | $1,052.13 | |
Aetna
| Professional | $247.13 | $286.67 | $352.58 | |
BCBS
| Professional | $345.99 | $345.99 | $345.99 | |
Cigna
| Facility | $267.94 | $539.73 | $746.88 | |
Cigna
| Professional | $152.82 | $314.57 | $623.77 | |
Medica
| Facility | $219.12 | $329.51 | $475.98 | |
Medica
| Professional | $138.38 | $197.71 | $1,647.55 | |
United
| Professional | $138.38 | $197.71 | $494.27 |