| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.32 | $435.32 | $435.32 | |
Aetna
| Professional | $160.30 | $319.55 | $435.32 | |
BCBS
| Professional | $435.63 | $435.63 | $435.63 | |
Cigna
| Facility | $229.50 | $229.50 | $229.50 | |
Cigna
| Professional | $229.50 | $229.50 | $703.13 | |
Medica
| Facility | $160.30 | $407.54 | $2,149.42 | |
Medica
| Professional | $148.74 | $239.44 | $399.06 | |
United
| Professional | $160.30 | $240.86 | $374.03 |