| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.88 | $357.88 | $357.88 | |
Aetna
| Professional | $303.72 | $303.72 | $357.88 | |
BCBS
| Professional | $536.10 | $627.36 | $638.20 | |
Cigna
| Professional | $543.75 | $549.19 | $690.56 | |
Medica
| Facility | $42.94 | $357.88 | $1,497.41 | |
Medica
| Professional | $154.49 | $260.89 | $391.36 | |
United
| Professional | $112.64 | $273.64 | $469.40 |