| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.33 | $297.33 | $297.33 | |
Aetna
| Professional | $297.33 | $297.33 | $297.33 | |
BCBS
| Professional | $266.36 | $314.45 | $318.97 | |
Cigna
| Professional | $274.88 | $277.62 | $343.59 | |
Medica
| Facility | $280.50 | $280.50 | $476.85 | |
Medica
| Professional | $300.25 | $330.28 | $349.80 | |
United
| Professional | $300.25 | $330.28 | $349.80 |