| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $302.00 | |
Aetna
| Professional | $302.00 | $302.00 | $1,258.93 | |
BCBS
| Professional | $295.12 | $389.05 | $436.52 | |
Cigna
| Professional | $446.68 | $645.65 | $933.25 | |
Medica
| Facility | $275.42 | $302.00 | $524.81 | |
United
| Professional | $263.03 | $263.03 | $263.03 |