| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $399.33 | |
Aetna
| Professional | $275.39 | $275.39 | $275.39 | |
BCBS
| Facility | $146.08 | $190.59 | $371.64 | |
Cigna
| Professional | $270.00 | $302.39 | $337.50 | |
Medica
| Facility | $523.26 | $1,215.00 | $1,215.00 | |
Medica
| Professional | $247.34 | $279.49 | $324.00 | |
United
| Facility | $0.02 | $0.02 | $0.03 | |
United
| Professional | $247.34 | $272.07 | $324.00 |