| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.72 | $386.47 | $386.47 | |
Aetna
| Professional | $338.72 | $362.39 | $369.10 | |
BCBS
| Facility | $43.73 | $58.73 | $85.09 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Medica
| Facility | $273.37 | $350.53 | $1,293.33 | |
Medica
| Professional | $292.23 | $362.98 | $369.13 | |
United
| Professional | $312.64 | $388.33 | $394.91 |