| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.49 | $293.49 | $386.17 | |
Aetna
| Professional | $293.49 | $386.17 | $386.17 | |
BCBS
| Facility | $272.39 | $312.83 | $331.83 | |
BCBS
| Professional | $310.52 | $310.52 | $310.52 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
Medica
| Facility | $206.88 | $350.62 | $1,898.77 | |
Medica
| Professional | $134.94 | $317.36 | $450.07 | |
United
| Professional | $134.94 | $298.19 | $518.30 |