| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.69 | $383.69 | $383.69 | |
Aetna
| Professional | $318.58 | $318.58 | $383.69 | |
BCBS
| Professional | $575.92 | $680.95 | $689.69 | |
Cigna
| Professional | $596.25 | $602.21 | $757.24 | |
Medica
| Facility | $33.90 | $383.69 | $498.50 | |
Medica
| Professional | $21.93 | $44.90 | $449.50 | |
United
| Professional | $17.02 | $63.65 | $449.50 |