| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.64 | $385.64 | $385.64 | |
Aetna
| Professional | $385.64 | $385.64 | $405.94 | |
BCBS
| Professional | $405.94 | $405.94 | $405.94 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
Medica
| Facility | $327.90 | $426.24 | $941.11 | |
Medica
| Professional | $154.19 | $331.05 | $461.73 | |
United
| Professional | $154.19 | $331.05 | $461.73 |