| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $275.39 | |
Aetna
| Professional | $275.39 | $275.39 | $275.39 | |
BCBS
| Professional | $246.71 | $291.27 | $295.45 | |
Cigna
| Professional | $270.00 | $272.70 | $337.50 | |
Medica
| Facility | $275.39 | $275.39 | $468.18 | |
Medica
| Professional | $268.62 | $272.07 | $324.00 | |
United
| Professional | $247.34 | $272.07 | $279.49 |