| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.76 | $325.76 | $325.76 | |
Aetna
| Professional | $268.44 | $268.44 | $325.76 | |
BCBS
| Professional | $511.31 | $598.35 | $608.69 | |
Cigna
| Professional | $517.50 | $522.67 | $657.23 | |
Medica
| Facility | $217.78 | $325.76 | $2,008.95 | |
Medica
| Professional | $178.40 | $221.55 | $356.80 | |
United
| Professional | $126.60 | $221.55 | $356.80 |