| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.06 | $297.06 | $297.06 | |
BCBS
| Professional | $5.00 | $5.00 | $5.00 | |
Cigna
| Professional | $517.00 | $517.00 | $517.00 | |
Medica
| Facility | $297.06 | $297.06 | $297.06 | |
Medica
| Professional | $274.82 | $369.35 | $402.20 | |
United
| Facility | $274.82 | $366.53 | $388.18 | |
United
| Professional | $274.82 | $366.53 | $402.20 |