| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.06 | $241.06 | $317.18 | |
Aetna
| Professional | $241.06 | $317.18 | $317.18 | |
BCBS
| Facility | $267.05 | $306.70 | $325.32 | |
BCBS
| Professional | $304.43 | $304.43 | $304.43 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
Medica
| Facility | $169.73 | $288.01 | $1,559.56 | |
Medica
| Professional | $110.83 | $260.69 | $369.69 | |
United
| Professional | $110.83 | $249.83 | $345.84 |