| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.07 | $226.07 | $581.33 | |
Aetna
| Professional | $226.07 | $226.07 | $303.58 | |
BCBS
| Professional | $536.90 | $650.76 | $730.29 | |
Cigna
| Professional | $370.87 | $374.58 | $471.01 | |
Medica
| Facility | $226.07 | $433.21 | $1,534.06 | |
Medica
| Professional | $155.38 | $387.55 | $553.78 | |
United
| Professional | $135.63 | $225.94 | $553.78 |