| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.57 | $239.91 | $295.14 | |
BCBS
| Facility | $349.29 | $367.67 | $367.67 | |
BCBS
| Professional | $364.03 | $364.03 | $364.03 | |
Cigna
| Professional | $517.00 | $517.00 | $517.00 | |
Medica
| Facility | $228.57 | $239.91 | $362.68 | |
Medica
| Professional | $157.04 | $221.82 | $229.83 | |
United
| Professional | $157.04 | $209.45 | $229.83 |