| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $576.00 | |
Aetna
| Professional | $224.00 | $300.80 | $300.80 | |
BCBS
| Professional | $481.68 | $644.79 | $720.00 | |
Cigna
| Professional | $367.57 | $367.57 | $539.61 | |
Medica
| Facility | $192.00 | $243.20 | $576.00 | |
Medica
| Professional | $163.19 | $384.00 | $640.00 | |
United
| Professional | $134.40 | $326.39 | $544.00 |