| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.18 | $295.18 | $386.17 | |
Aetna
| Professional | $295.18 | $295.18 | $386.17 | |
BCBS
| Professional | $370.97 | $382.19 | $449.64 | |
Cigna
| Professional | $470.25 | $474.95 | $587.80 | |
Medica
| Facility | $295.18 | $351.26 | $885.54 | |
Medica
| Professional | $202.41 | $337.35 | $646.52 | |
United
| Professional | $158.47 | $337.35 | $646.52 |