| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.36 | $335.36 | $441.26 | |
Aetna
| Professional | $335.36 | $441.26 | $441.26 | |
BCBS
| Facility | $272.39 | $312.83 | $331.83 | |
BCBS
| Professional | $310.52 | $310.52 | $310.52 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
Medica
| Facility | $236.19 | $400.66 | $2,169.65 | |
Medica
| Professional | $154.19 | $362.65 | $514.30 | |
United
| Professional | $154.19 | $231.28 | $592.28 |